Giselle Blair (NPI# 1013276708, PAC ID# 3173824448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1013276708 |
| PAC ID by PECOS | 3173824448 |
| Professional Enrollment ID | I20151211000716 |
| Full Name | Giselle Blair |
| Organization Legal Name | UNIVERSITY MEDICAL GROUP LLC |
| Address |
925 Branch Ct Suite 201 Grovetown GA 30813-3325 |
| Phone Number | 7063963570 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2567640915 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110028 | UNIVERSITY HOSPITAL |
| 110111 | UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 | 7063963570 | UNIVERSITY MEDICAL GROUP LLC |
| Organization Legal Name | UNIVERSITY MEDICAL GROUP LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Leigh Whitwell | Nurse Practitioner | University Medical Group LLC | 1100 W Lake Commons Dr, Martinez, GA 30907-7932 |
| Lisa Wannamaker | Internal Medicine | University Medical Group LLC | 4446 Washington Eroad, Suite 7, Evans, GA 30809 |
| Lindsey Meagher | Nurse Practitioner | University Medical Group LLC | 3121 Peach Orchard Rd, Suite 103, Augusta, GA 30906-3531 |
| Eman L Kaldas | Internal Medicine | University Medical Group LLC | 3486 Peach Orchard Rd, Suite 100, Augusta, GA 30906-5215 |
| Jennifer Herbert | Family Medicine | University Medical Group LLC | 3851 Evans Locks Rd, Se 113, Martinez, GA 30907-4914 |
| Alison Powell | Nurse Practitioner | University Medical Group LLC | 309 W Ave, Umg Family Practice, North Augusta, SC 29841-3800 |
| Vanessa Bradish | Nurse Practitioner | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Daniel H Boone | Internal Medicine | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Christopher S Mcelroy | Internal Medicine | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Hannah Timmerman Cofer | Nurse Practitioner | University Medical Group LLC | 3486 Peach Orchard Rd, Suite 100, Augusta, GA 30906-5215 |
| Street Address |
925 BRANCH CT SUITE 201 |
| City | GROVETOWN |
| State | GA |
| Zip | 30813-3325 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Casey Pitts | General Surgery | Umg General Surgery LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
| Faiz U Rehman | Cardiovascular Disease (cardiology) | University Cardiology Associates LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
| Jared W Mitchell | General Surgery | Umg General Surgery LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelli M Carter | Family Medicine | Urgent Md Healthcare Services, P.C. | 101 Fornum Dr, Grovetown, GA 30813-2697 |
| Benjamin M Gentry | Physician Assistant | Nephrology Associates PC | 442 Park 20, Grovetown, GA 30813-3216 |
| Macy Caldwell | Optometry | Tippett Eyecare, PC | 701 Devika Dr, Suite 3, Grovetown, GA 30813-5137 |
| Thoran Farnsworth | Diagnostic Radiology | Irad Services Inc | 5033 Vine Ln, Grovetown, GA 30813-8214 |
| City | GROVETOWN |
| Zip Code | 30813 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | GROVETOWN + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Giselle Blair.
| 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.