Walisa K Maynard (NPI# 1609906973, PAC ID# 2961537394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1609906973 |
| PAC ID by PECOS | 2961537394 |
| Professional Enrollment ID | I20100324000136 |
| Full Name | Walisa K Maynard |
| Organization Legal Name | PHOEBE PUTNEY MEMORIAL HOSPTIAL, INC |
| Address |
417 W 3rd Ave Albany GA 31701-1943 |
| Phone Number | 2293121000 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 4486559549 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110007 | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 417 W 3rd Ave, Albany, GA 31701-1943 | 2293121000 | PHOEBE PUTNEY MEMORIAL HOSPTIAL, INC |
| 417 W 3rd Ave, Albany, GA 31701-1943 | PHOEBE PHYSICIAN GROUP INC | |
| 151 Mayo St A, Americus, GA 31709-4782 | 2293125800 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St B, Americus, GA 31709-4782 | 2299282900 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St C, Americus, GA 31709-4782 | 2299282882 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St D, Americus, GA 31709-4782 | 2299281100 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St E, Americus, GA 31709-4782 | 2299311159 | PHOEBE PHYSICIAN GROUP INC |
| Organization Legal Name | PHOEBE PUTNEY MEMORIAL HOSPTIAL, INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Misulia | Emergency Medicine | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Daniel A Jones | Radiation Oncology | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Mellanie Sledge | Nurse Practitioner | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Stephanie M Johnson | Emergency Medicine | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Larry A Medley | Emergency Medicine | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Thomas Fortson Neal Jr. | Hematology/oncology | Phoebe Putney Memorial Hosptial, Inc | 902 N 7th St, Cordele, GA 31015-3234 |
| Dewitt A Pittman Ii | Emergency Medicine | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Peter G Davis | Emergency Medicine | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| William J Mcafee | Radiation Oncology | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Chirag R Jani | Hematology/oncology | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Street Address |
417 W 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip | 31701-1943 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Dickerson | Certified Registered Nurse Anesthetist (crna) | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Eugenia Payne | Diagnostic Radiology | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Andrew G Misulia | Emergency Medicine | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Nicole Brigette Thomas | Internal Medicine | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Jason Gabriel Barnhart | Family Medicine | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Priscilla Ellen Egyir-biney | Internal Medicine | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Daniel A Jones | Radiation Oncology | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Leslie G Aldridge | Nurse Practitioner | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Deborah A Marks-jones | Pathology | Sw Georgia Pathology Associates | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Terrance L Cannon | Certified Registered Nurse Anesthetist (crna) | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Carroll | Chiropractic | 1108 Whispering Pines Rd, Albany, GA 31701-1001 | |
| Rajesh Rangaraj | Ophthalmology | 1909 Aberdeen Rd, Suite 108, Albany, GA 31701-1300 | |
| Kalpesh Patel | Neurology | 701 14th Ave, Albany, GA 31701-1301 | |
| Stanley James Moye | Plastic and Reconstructive Surgery | 2101 Palmyra Rd, Albany, GA 31701-1319 | |
| Sheena Elois Favors | Obstetrics/gynecology | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Corinna M Gilkey | Certified Nurse Midwife (cnm) | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Lodz Samantha Joseph | Certified Nurse Midwife (cnm) | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Stacia L Dzikunu | Obstetrics/gynecology | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Clare Soileau Terry | Certified Nurse Midwife (cnm) | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Donald Jones | Obstetrics/gynecology | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Find all physicians in zip 31701 | |||
| City | ALBANY |
| Zip Code | 31701 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ALBANY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Walisa K Maynard.
| 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.