Jodi L Krueger (NPI# 1235165689, PAC ID# 2466496427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1235165689 |
| PAC ID by PECOS | 2466496427 |
| Professional Enrollment ID | I20050615000701 |
| Full Name | Jodi L Krueger |
| Organization Legal Name | CENTER FOR PRIMARY CARE, P.C. |
| Address |
2011 Windsor Spring Rd Augusta GA 30906-4957 |
| Phone Number | 7067981700 |
| Gender | F |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385633247 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110177 | DOCTORS HOSPITAL |
| 110028 | UNIVERSITY HOSPITAL |
| 110034 | GEORGIA HEALTH SCIENCES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2011 Windsor Spring Rd, Augusta, GA 30906-4957 | 7067981700 | CENTER FOR PRIMARY CARE, P.C. |
| 105 E Hugh St, North Augusta, SC 29841-2925 | 7066507799284 | CENTER FOR PRIMARY CARE, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTER FOR PRIMARY CARE, P.C. |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Roth Tucker | Nurse Practitioner | Center for Primary Care, P.C. | 2011 Windsor Spring Rd, Augusta, GA 30906-4957 |
| Holly Mahoney | Family Medicine | Center for Primary Care, P.C. | 505 Mount Pleasant Rd, Thomson, GA 30824-8140 |
| Shireen Q Moore | Family Medicine | Center for Primary Care, P.C. | 363 N Belair Rd, Evans, GA 30809-3096 |
| Leopoldo Muniz | Family Medicine | Center for Primary Care, P.C. | 131 Rinehart Way, Aiken, SC 29803-1703 |
| Denise S Kennedy | Family Medicine | Center for Primary Care, P.C. | 105 E Hugh St, North Augusta, SC 29841-2925 |
| Richard W Livingston Jr. | Family Medicine | Center for Primary Care, P.C. | 410 Hitchcock Pkwy, Aiken, SC 29801-3398 |
| Joseph A Hooper | Family Medicine | Center for Primary Care, P.C. | 3614 J Dewey Gray Cir, D, Augusta, GA 30909-6512 |
| Robert A Price | Internal Medicine | Center for Primary Care, P.C. | 1701 Magnolia Way, Suite 101, Augusta, GA 30909-9483 |
| Tracy Barefield | Family Medicine | Center for Primary Care, P.C. | 363 N Belair Rd, Evans, GA 30809-3096 |
| Robert A Suykerbuyk | Emergency Medicine | Center for Primary Care, P.C. | 363 N Belair Rd, Evans, GA 30809-3096 |
| Street Address |
2011 WINDSOR SPRING RD |
| City | AUGUSTA |
| State | GA |
| Zip | 30906-4957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Roth Tucker | Nurse Practitioner | Center for Primary Care, P.C. | 2011 Windsor Spring Rd, Augusta, GA 30906-4957 |
| Riaz Rassekh | Family Medicine | Center for Primary Care, P.C. | 2011 Windsor Spring Rd, Augusta, GA 30906-4957 |
| Terin Blanchard | Family Medicine | Center for Primary Care, P.C. | 2011 Windsor Spring Rd, Augusta, GA 30906-4957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean T Lynch | Family Medicine | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| James Patrick Walton | Family Medicine | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| Lauren Cherie Daniels | Family Medicine | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| Thomas Wieme | Physician Assistant | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| Lynne Dunnington Peavey | Qualified Audiologist | 2021 Scott Rd, Augusta, GA 30906-2539 | |
| Scott E Sherman | Chiropractic | 3029 Deans Bridge Rd, Augusta, GA 30906-2921 | |
| Jennifer A Dufrene | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Janet Duggan | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Laura Kathleen Martin | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Courtney Nash Oneal | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Find all physicians in zip 30906 | |||
| City | AUGUSTA |
| Zip Code | 30906 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | AUGUSTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jodi L Krueger.
| 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.