Charles Gary Lodge (NPI# 1366521205, PAC ID# 3072702299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366521205 |
| PAC ID by PECOS | 3072702299 |
| Professional Enrollment ID | I20110104000647 |
| Full Name | Charles Gary Lodge |
| Organization Legal Name | COLQUITT REGIONAL MEDICAL CENTER |
| Address |
6 Hospital Park Moultrie GA 31768-6700 |
| Phone Number | 2298919131 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6204821796 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110105 | COLQUITT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6 Hospital Park, Moultrie, GA 31768-6700 | 2298919131 | COLQUITT REGIONAL MEDICAL CENTER |
| Organization Legal Name | COLQUITT REGIONAL MEDICAL CENTER |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Cardwell | Family Medicine | Colquitt Regional Medical Center | 1 Magnolia Ct, Moultrie, GA 31768-6764 |
| Jessica Nicole Brumfield | Family Medicine | Colquitt Regional Medical Center | 1 Magnolia Ct, Moultrie, GA 31768-6764 |
| Thomas Lane Estes | General Surgery | Colquitt Regional Medical Center | 3131 S Main St, Moultrie, GA 31768-6925 |
| Kirby Odis Smith | Family Medicine | Colquitt Regional Medical Center | 1 Magnolia Ct, Moultrie, GA 31768-6764 |
| Billy Ray Price | Family Medicine | Colquitt Regional Medical Center | 6 Hospital Park, Moultrie, GA 31768-6700 |
| Hope C Littleton | Nurse Practitioner | Colquitt Regional Medical Center | 1 Magnolia Ct, Moultrie, GA 31768-6764 |
| Mark A Globerman | Physician Assistant | Colquitt Regional Medical Center | 3131 S Main St, Moultrie, GA 31768-6925 |
| Street Address |
6 HOSPITAL PARK |
| City | MOULTRIE |
| State | GA |
| Zip | 31768-6700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billy Ray Price | Family Medicine | Colquitt Regional Medical Center | 6 Hospital Park, Moultrie, GA 31768-6700 |
| Tamara Johnson | Internal Medicine | 6 Hospital Park, Moultrie, GA 31768-6700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel B Wright | Nurse Practitioner | Turning Point Care Center LLC | 705 5th Ave Se, Moultrie, GA 31768-2705 |
| Muhammad M Alam | Psychiatry | Turning Point Care Center LLC | 705 5th Ave Se, Moultrie, GA 31768-2705 |
| Lauren K Rowe | Optometry | South Georgia Eye Partners PC | 115 5th St Se, Moultrie, GA 31768-4834 |
| Carl F Sircy Iii | Chiropractic | 714 S Main St, Moultrie, GA 31768-5433 | |
| Laurie Mcdaniel Scarrow | Qualified Audiologist | 27 8th Seave, Moultrie, GA 31768-5500 | |
| Benajah Pierce Marion | Clinical Social Worker | 719 1st St Se, Moultrie, GA 31768-5509 | |
| Elizabeth Olds Marston | Clinical Social Worker | 719 1st St Se, Moultrie, GA 31768-5509 | |
| Samuel Marion | Clinical Social Worker | 719 1st St Se, Moultrie, GA 31768-5509 | |
| Ying Wang | Physician Assistant | Turning Point Care Center LLC | 20 11th Ave Se, Moultrie, GA 31768-5650 |
| Laura F Mullis | Clinical Social Worker | Turning Point Care Center LLC | 20 11th Ave Se, Moultrie, GA 31768-5650 |
| Find all physicians in zip 31768 | |||
| City | MOULTRIE |
| Zip Code | 31768 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOULTRIE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles Gary Lodge.
| 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.