Peter Lavine (NPI# 1063486439, PAC ID# 1850365834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1063486439 |
| PAC ID by PECOS | 1850365834 |
| Professional Enrollment ID | I20070129000752 |
| Full Name | Peter Lavine |
| Organization Legal Name | TENDERCARE CLINIC INC. |
| Address |
1040 Park Dr Greensboro GA 30642-3466 |
| Phone Number | 7065346640 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC |
| Graduation Year | 1966 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0446232268 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111329 | ST. MARY'S GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1040 Park Dr, Greensboro, GA 30642-3466 | 7065346640 | TENDERCARE CLINIC INC. |
| Organization Legal Name | TENDERCARE CLINIC INC. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth L Coe | Family Medicine | Tendercare Clinic Inc. | 1040 Park Dr, Greensboro, GA 30642-3466 |
| Victoria L. Albanese | Clinical Social Worker | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Andrew Alexander Ke | Hospitalist | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Itoro Bassey Edet Daniels | Internal Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Craig B Colby | Family Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Brandon Taylor | Internal Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Dave A Ringer | Family Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Nathan Charles Wade | Nurse Practitioner | Tendercare Clinic Inc. | 111 Fieldstone Dr, Milledgeville, GA 31061-7108 |
| Peggy D Edmonds | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Donna Amanda Kauffman | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Street Address |
1040 PARK DR |
| City | GREENSBORO |
| State | GA |
| Zip | 30642-3466 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth L Coe | Family Medicine | Tendercare Clinic Inc. | 1040 Park Dr, Greensboro, GA 30642-3466 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria L. Albanese | Clinical Social Worker | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Andrew Alexander Ke | Hospitalist | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Itoro Bassey Edet Daniels | Internal Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Craig B Colby | Family Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Brandon Taylor | Internal Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Dave A Ringer | Family Medicine | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Peggy D Edmonds | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Donna Amanda Kauffman | Nurse Practitioner | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Robert T Perry | Physician Assistant | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| James E Southerland | General Practice | Tendercare Clinic Inc. | 803 S Main St, Greensboro, GA 30642-1211 |
| Find all physicians in zip 30642 | |||
| City | GREENSBORO |
| Zip Code | 30642 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | GREENSBORO + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.