Edwin F Slott Jr. (NPI# 1447265996, PAC ID# 1951394824) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1447265996 |
| PAC ID by PECOS | 1951394824 |
| Professional Enrollment ID | I20190924001338 |
| Full Name | Edwin F Slott Jr. |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Address |
1900 Tebeau St Waycross GA 31501-6357 |
| Phone Number | 9122833030 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5193620714 |
| Number of Group Practice Members | 172 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110125 | FAIRVIEW PARK HOSPITAL |
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1900 Tebeau St, Waycross, GA 31501-6357 | 9122833030 | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Pena | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 806 Hwy 17 S, North Myrtle Beach, SC 29582-3429 |
| Carey Christiansen Ford | Family Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
| Peter K Brady | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 349 Tidewatch Dr, Bluffton, SC 29910-9321 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Arash Albekord | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 10 E Hospital St, Manning, SC 29102-3153 |
| Angela Penix | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Bettie S Stem | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Tiffany D Jackson | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Kenneth L Grotz | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Reda Saadal Hallaba | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Street Address |
1900 TEBEAU ST |
| City | WAYCROSS |
| State | GA |
| Zip | 31501-6357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jules M Nehmetallah | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 1900 Tebeau St, Waycross, GA 31501-6357 |
| Jason T Springer | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 1900 Tebeau St, Waycross, GA 31501-6357 |
| Philip J Paustian | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 1900 Tebeau St, Waycross, GA 31501-6357 |
| James H Bloodworth | Pathology | Integrated Regional Laboratories Pathology Services, LLC | 1900 Tebeau St, Waycross, GA 31501-6357 |
| Christopher Dallam Mcardle | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 1900 Tebeau St, Waycross, GA 31501-6357 |
| Jana Lorraine Revels | Nurse Practitioner | Memorial Satilla Specialists, LLC | 1900 Tebeau St, Waycross, GA 31501-6357 |
| Charles Todd Bruker | Pathology | Integrated Regional Laboratories Pathology Services, LLC | 1900 Tebeau St, Waycross, GA 31501-6357 |
| Douglas Raymond Mccoy | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 1900 Tebeau St, Waycross, GA 31501-6357 |
| Rahul R Malireddy | Hospitalist | Hospital Physician Services - Southeast Professional Corporation | 1900 Tebeau St, Waycross, GA 31501-6357 |
| Victor Hugo Urbieta Caceres | Hospitalist | Hospital Physician Services - Southeast Professional Corporation | 1900 Tebeau St, Waycross, GA 31501-6357 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Gilbert | Chiropractic | 1705 Blvd Sq, Suite C, Waycross, GA 31501 | |
| Zachary Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| William Perry Giles | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| Scott H Petermann | Ophthalmology | South Georgia Eye Partners PC | 1730 Brunswick Hwy, Waycross, GA 31501-0908 |
| Rodney Brown | Optometry | 1730 Brunswick Hwy, Waycross, GA 31501-0908 | |
| Jarrod Griffis | Optometry | American Eyecare Center Waycross PC | 1730 Brunswick Hwy, Waycross, GA 31501-0908 |
| Peggy S Achenbach | Optometry | Myeyedr Optometry of Georgia, LLC | 2215 Memorial Dr, Suite 25, Waycross, GA 31501-0987 |
| Brandon Hall | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Amber C Pittman | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Carmen Jackson | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Find all physicians in zip 31501 | |||
| City | WAYCROSS |
| Zip Code | 31501 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WAYCROSS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Edwin F Slott Jr..
| 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.