Barry M Parker (NPI# 1962450874, PAC ID# 1658261052) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1962450874 |
| PAC ID by PECOS | 1658261052 |
| Professional Enrollment ID | I20060106000405 |
| Full Name | Barry M Parker |
| Organization Legal Name | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Address |
120 Gordon St Washington GA 30673-1602 |
| Phone Number | 8885455551 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1983 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0042389231 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110125 | FAIRVIEW PARK HOSPITAL |
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| 110002 | UPSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 302 S Wayne St, Alma, GA 31510-2922 | 9126328961 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 163 E Tollison St, Baxley, GA 31513-0120 | 9123679841 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 104 Fairview Park Dr, Dublin, GA 31021-2500 | 9126606220 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 200 Industrial Blvd, Dublin, GA 31021-2981 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 2480 Claxton Dairy Rd, Dublin, GA 31021-4427 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 120 Gordon St, Washington, GA 30673-1602 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Organization Legal Name | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Tyler Burgner | Diagnostic Radiology | South Georgia Radiology Associates LLC | 340 Eisenhower Dr, Suite 1305, Savannah, GA 31406-1607 |
| James S Mcclellan Jr. | Diagnostic Radiology | South Georgia Radiology Associates LLC | 407 Durden St, Vidalia, GA 30474-4600 |
| Arthur L Fritz | Diagnostic Radiology | South Georgia Radiology Associates LLC | 4045 Lankford Hwy, Exmore, VA 23350-2642 |
| Jeremy R Hill | Diagnostic Radiology | South Georgia Radiology Associates LLC | 5801 Pinehurst Byromville Rd, Pinehurst, GA 31070-6907 |
| Burton D Goodwin | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Thomas M Meadows | Diagnostic Radiology | South Georgia Radiology Associates LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Deborah J Charles | Diagnostic Radiology | South Georgia Radiology Associates LLC | 902 N 7th St, Cordele, GA 31015-3234 |
| Ian B Campbell | Diagnostic Radiology | South Georgia Radiology Associates LLC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Jeffrey David Stevens | Diagnostic Radiology | South Georgia Radiology Associates LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Dale R Nance | Diagnostic Radiology | South Georgia Radiology Associates LLC | 407 Durden St, Vidalia, GA 30474-4600 |
| Street Address |
120 GORDON ST |
| City | WASHINGTON |
| State | GA |
| Zip | 30673-1602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward J Kruse | Surgical Oncology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
| Haitham Mahmoud Hreibe | Cardiac Electrophysiology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
| Joshua Stauffer | Nurse Practitioner | Wills Memorial Emergency Medical Services, LLC | 120 Gordon St, Washington, GA 30673-1602 |
| Gyanendra Kumar Sharma | Cardiovascular Disease (cardiology) | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
| Deepak Kapoor | Interventional Cardiology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
| Zachary William Abraham Klaassen | Urology | Au Medical Associates Inc | 120 Gordon St, Washington, GA 30673-1602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge Francisco Perezvelasco | Optometry | Wilkes Eye Care | 23 E Square, Washington, GA 30673-1517 |
| Dilip A Thomas | Ophthalmology | Au Medical Associates Inc | 23 E Square, Washington, GA 30673-1517 |
| William W Robinson | Optometry | Wilkes Eye Care | 23 E Square, Washington, GA 30673-1517 |
| Kirkland T Dodson | Internal Medicine | 119 Gordon St, Washington, GA 30673-1601 | |
| Katherine W Sanders | General Practice | 124 Gordon St, Washington, GA 30673-1602 | |
| Kevin W Townsend | Chiropractic | 21 W Robert Toombs Ave, Washington, GA 30673-1661 | |
| Lester T Johnston Jr. | Internal Medicine | Hospital Authority of Wilkes County | 212 Hospital Dr, Washington, GA 30673-5619 |
| David Kirk | Family Medicine | 206 Hospital Dr, Washington, GA 30673-5619 | |
| Michael G Molitor | Emergency Medicine | Hospital Authority of Wilkes County | 212 Hospital Dr, Washington, GA 30673-5619 |
| City | WASHINGTON |
| Zip Code | 30673 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WASHINGTON + DIAGNOSTIC RADIOLOGY |
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| 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.