Lewis R Collins Jr. (NPI# 1679669840, PAC ID# 1951386341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1679669840 |
PAC ID by PECOS | 1951386341 |
Professional Enrollment ID | I20040621000866 |
Full Name | Lewis R Collins Jr. |
Organization Legal Name | LEWIS R. COLLINS, JR., M.D., P. C. |
Address |
1013 E 1st St Vidalia GA 30474-4227 |
Phone Number | 9125387702 |
Gender | M |
Credential | MD |
Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 0143218396 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110024 | CANDLER HOSPITAL |
Address | Phone | Organization |
---|---|---|
1013 E 1st St, Vidalia, GA 30474-4227 | 9125387702 | LEWIS R. COLLINS, JR., M.D., P. C. |
Organization Legal Name | LEWIS R. COLLINS, JR., M.D., P. C. |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda Shai Hobbs | Nurse Practitioner | Lewis R. Collins, Jr., M.d., P. C. | 1013 E 1st St, Vidalia, GA 30474-4227 |
Michelle L Reeves | Physician Assistant | Lewis R. Collins, Jr., M.d., P. C. | 1013 E 1st St, Vidalia, GA 30474-4227 |
Street Address |
1013 E 1ST ST |
City | VIDALIA |
State | GA |
Zip | 30474-4227 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda Shai Hobbs | Nurse Practitioner | Lewis R. Collins, Jr., M.d., P. C. | 1013 E 1st St, Vidalia, GA 30474-4227 |
Michelle L Reeves | Physician Assistant | Lewis R. Collins, Jr., M.d., P. C. | 1013 E 1st St, Vidalia, GA 30474-4227 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Casey Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
Karen Pamela Mcneely | Nurse Practitioner | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
David H Paine | Internal Medicine | 1006 A Mt Vernon Rd, Vidalia, GA 30474 | |
Walter J Revell Jr. | General Surgery | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
Archie J Champion | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
Letty Revell Peterson | Dermatology | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
Charles M Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
Richard M Proenza | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
Paul J Giles | Cardiovascular Disease (cardiology) | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
Robert Andrew Bell | Nurse Practitioner | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
Find all physicians in zip 30474 |
City | VIDALIA |
Zip Code | 30474 |
Specialty | DERMATOLOGY |
City + Specialty | VIDALIA + DERMATOLOGY |
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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.