Angela R Ballard (NPI# 1376873513, PAC ID# 3072763820) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1376873513 |
| PAC ID by PECOS | 3072763820 |
| Professional Enrollment ID | I20121101000355 |
| Full Name | Angela R Ballard |
| Organization Legal Name | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| Address |
321 S 9th St Griffin GA 30224-4111 |
| Phone Number | 4782542644 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012183650 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110069 | HOUSTON MEDICAL CENTER |
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| Address | Phone | Organization |
|---|---|---|
| 112 Corporate Sq, Dublin, GA 31021-4263 | 4782542644 | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| 321 S 9th St, Griffin, GA 30224-4111 | 4782542644 | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 4782542644 | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| 679 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2788 | 4782542644 | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| 312 Margie Dr, Warner Robins, GA 31088-8913 | 4782542644 | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| Organization Legal Name | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Nichole Van Dine | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| David Brian Remington | Cardiovascular Disease (cardiology) | Middle Georgia Heart and Vascular Center, LLC | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 |
| Morgan Brooke Dowd | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 |
| Susannah Goodman | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| Heather Ann Hall | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 1570 Watson Blvd, Warner Robins, GA 31093-3473 |
| William Knopf | Cardiovascular Disease (cardiology) | Middle Georgia Heart and Vascular Center, LLC | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 |
| Talley F Culclasure Jr. | Cardiovascular Disease (cardiology) | Middle Georgia Heart and Vascular Center, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Street Address |
321 S 9TH ST |
| City | GRIFFIN |
| State | GA |
| Zip | 30224-4111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Nichole Van Dine | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| Susannah Goodman | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jolina Pamela C Santos | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
| Sonu Singh | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
| James J Clark | Optometry | 210 S 16th St, Griffin, GA 30224-2663 | |
| Angela Parker | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Vicky E Mack | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 621 Carver Rd, Griffin, GA 30224-3937 |
| Nballu Goba | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Carlena Plunkett | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Latonia Michelle Trawick | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Dwayne L Watkins | Internal Medicine | Heartland Healthcare PC | 327 S 9th St, Griffin, GA 30224-4111 |
| Hannah R Cecil | Nurse Practitioner | Healthy Ever After Inc | 315 S 12th St, Griffin, GA 30224-4116 |
| Find all physicians in zip 30224 | |||
| City | GRIFFIN |
| Zip Code | 30224 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRIFFIN + PHYSICIAN ASSISTANT |
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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.