Kimberly B Brown-gullatt (NPI# 1902836000, PAC ID# 1456356807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1902836000 |
PAC ID by PECOS | 1456356807 |
Professional Enrollment ID | I20060919000260 |
Full Name | Kimberly B Brown-gullatt |
Organization Legal Name | VALLEY HEALTHCARE SYSTEM INC |
Address |
1440 Benning Dr Suite 120 Columbus GA 31903-2240 |
Phone Number | 7066891331 |
Gender | F |
Credential | MD |
Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8628988276 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110064 | MIDTOWN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1440 Benning Dr, Suite 120, Columbus, GA 31903-2240 | 7066891331 | VALLEY HEALTHCARE SYSTEM INC |
1600 Fort Benning Rd, Columbus, GA 31903-2834 | 7066891331 | VALLEY HEALTHCARE SYSTEM INC |
3473 N Lumpkin Rd, Bldg C, Columbus, GA 31903-5387 | 7066891331 | VALLEY HEALTHCARE SYSTEM INC |
Organization Legal Name | VALLEY HEALTHCARE SYSTEM INC |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ui An | Physician Assistant | Valley Healthcare System Inc | 1440 Benning Dr, Suite 120, Columbus, GA 31903-2240 |
Charles L Calhoun | Ophthalmology | Valley Healthcare System Inc | 1600 Fort Benning Rd, Columbus, GA 31903-2834 |
Lavon Thurman | Family Medicine | Valley Healthcare System Inc | 94 Mccrary Rd, Fortson, GA 31808-4558 |
Giovanna Guerra Troche | Psychologist, Clinical | Valley Healthcare System Inc | 94 Mccrary Rd, Fortson, GA 31808-4558 |
Jenise Marie Santos | Physician Assistant | Valley Healthcare System Inc | 1440 Benning Dr, Suite 120, Columbus, GA 31903-2240 |
Kamesha M Fair | Obstetrics/gynecology | Valley Healthcare System Inc | 1440 Benning Dr, Suite 120, Columbus, GA 31903-2240 |
Tiffany James | Nurse Practitioner | Valley Healthcare System Inc | 1600 Fort Benning Rd, Columbus, GA 31903-2834 |
Kate Hacker | Clinical Social Worker | Valley Healthcare System Inc | 1600 Fort Benning Rd, Columbus, GA 31903-2834 |
Jasmine Nicole Peterson | Physician Assistant | Valley Healthcare System Inc | 1440 Benning Dr, Columbus, GA 31903-2240 |
Wayne D Wells | Family Practice | Valley Healthcare System Inc | 1600 Fort Benning Rd, Columbus, GA 31903-2834 |
Street Address |
1440 BENNING DR SUITE 120 |
City | COLUMBUS |
State | GA |
Zip | 31903-2240 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ui An | Physician Assistant | Valley Healthcare System Inc | 1440 Benning Dr, Suite 120, Columbus, GA 31903-2240 |
Jenise Marie Santos | Physician Assistant | Valley Healthcare System Inc | 1440 Benning Dr, Suite 120, Columbus, GA 31903-2240 |
Kamesha M Fair | Obstetrics/gynecology | Valley Healthcare System Inc | 1440 Benning Dr, Suite 120, Columbus, GA 31903-2240 |
Jasmine Nicole Peterson | Physician Assistant | Valley Healthcare System Inc | 1440 Benning Dr, Columbus, GA 31903-2240 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael H Leary | Optometry | 3515 Victory Dr, Columbus, GA 31903-2733 | |
Charles L Calhoun | Ophthalmology | Valley Healthcare System Inc | 1600 Fort Benning Rd, Columbus, GA 31903-2834 |
Tiffany James | Nurse Practitioner | Valley Healthcare System Inc | 1600 Fort Benning Rd, Columbus, GA 31903-2834 |
Kate Hacker | Clinical Social Worker | Valley Healthcare System Inc | 1600 Fort Benning Rd, Columbus, GA 31903-2834 |
Wayne D Wells | Family Practice | Valley Healthcare System Inc | 1600 Fort Benning Rd, Columbus, GA 31903-2834 |
City | COLUMBUS |
Zip Code | 31903 |
Specialty | FAMILY MEDICINE |
City + Specialty | COLUMBUS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kimberly B Brown-gullatt.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.