Talley F Culclasure Jr. (NPI# 1104828490, PAC ID# 3274530043) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1104828490 |
| PAC ID by PECOS | 3274530043 |
| Professional Enrollment ID | I20061109000118 |
| Full Name | Talley F Culclasure Jr. |
| Organization Legal Name | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| Address |
222 Perry Hwy Hawkinsville GA 31036-6748 |
| Phone Number | 4782542644 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7012183650 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| 110069 | HOUSTON MEDICAL CENTER |
| 110164 | COLISEUM MEDICAL CENTERS |
| 111313 | PUTNAM GENERAL HOSPITAL |
| 111302 | BLECKLEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 222 Perry Hwy, Hawkinsville, GA 31036-6748 | 4782542644 | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| 770 Pine St, Suite 140, Macon, GA 31201-7577 | 4786331821 | HEALTH SERVICES OF CENTRAL GEORGIA |
| 770 Pine St, Macon, GA 31201-7577 | 4786331821 | HEALTH SERVICES OF CENTRAL GEORGIA |
| 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 |
| Angela R Ballard | Physician Assistant | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| Street Address |
222 PERRY HWY |
| City | HAWKINSVILLE |
| State | GA |
| Zip | 31036-6748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cecil S Little | Psychiatry | Taylor Regional Hospital | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| John H Washington Jr. | Emergency Medicine | Southland Hawkinsville Emergency Medical Services, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Vivian N Kenmoe | Internal Medicine | Southland Taylor Hospitalist Group, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Helen E Carrington | Emergency Medicine | Southland Hawkinsville Emergency Medical Services, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Jessica L Newby | Nurse Practitioner | Taylor Regional Hospital | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Gary M Williams | Cardiovascular Disease (cardiology) | 222 Perry Hwy, Pulaski Professional Bldg B, Hawkinsville, GA 31036-0600 | |
| Robert Campbell | General Surgery | Taylor Regional Hospital | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Guy T Easterling | Internal Medicine | Taylor Regional Hospital | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Akinlolu A Omitowoju | Emergency Medicine | Southland Hawkinsville Emergency Medical Services, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Catherine K Dickens | Family Medicine | Southland Hawkinsville Emergency Medical Services, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Minoo H Hollis | Orthopedic Surgery | Taylor Regional Hospital | 42 Truman Rd, Hawkinsville, GA 31036-4644 |
| Vundyala V Reddy | Medical Oncology | Nsh Cancer Institute Professional Services G LLC | 214 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Kimberli E Carpenter | Anesthesiology | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Alexander C Ibezi-enendu | Family Medicine | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Holly G Howell | Nurse Practitioner | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Bailey Lanier | Nurse Practitioner | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Michele T Edwards | Internal Medicine | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Michele S Scarborough | Nurse Practitioner | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Edith M Morgan | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 214 Perry Hwy, Hawkinsville, GA 31036-6748 |
| William C Cirillo | Internal Medicine | Southland Hawkinsville Emergency Medical Services, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Find all physicians in zip 31036 | |||
| City | HAWKINSVILLE |
| Zip Code | 31036 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | HAWKINSVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Talley F Culclasure Jr..
| 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.