Robert L Phillips (NPI# 1831181403, PAC ID# 3274657598) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1831181403 |
PAC ID by PECOS | 3274657598 |
Professional Enrollment ID | I20100824000178 |
Full Name | Robert L Phillips |
Organization Legal Name | WAYNE FAMILY PRACTICE ASSOCIATES, P.C. |
Address |
330 Peachtree Jesup GA 31545-0244 |
Phone Number | 9124276964225 |
Gender | M |
Medical School | MEDICAL COLLEGE OF GEORGIA |
Graduation Year | 1974 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 6507851425 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110124 | WAYNE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
330 Peachtree, Jesup, GA 31545-0244 | 9124276964225 | WAYNE FAMILY PRACTICE ASSOCIATES, P.C. |
Organization Legal Name | WAYNE FAMILY PRACTICE ASSOCIATES, P.C. |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin O Keown | Emergency Medicine | Wayne Family Practice Associates, P.C. | 330 Peachtree, Jesup, GA 31545-0244 |
Jennifer Holly Jones | Nurse Practitioner | Wayne Family Practice Associates, P.C. | 330 Peachtree, Jesup, GA 31545-0244 |
Tandy Smith | Nurse Practitioner | Wayne Family Practice Associates, P.C. | 330 Peachtree, Jesup, GA 31545-0244 |
Street Address |
330 PEACHTREE |
City | JESUP |
State | GA |
Zip | 31545-0244 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin O Keown | Emergency Medicine | Wayne Family Practice Associates, P.C. | 330 Peachtree, Jesup, GA 31545-0244 |
Jennifer Holly Jones | Nurse Practitioner | Wayne Family Practice Associates, P.C. | 330 Peachtree, Jesup, GA 31545-0244 |
Tandy Smith | Nurse Practitioner | Wayne Family Practice Associates, P.C. | 330 Peachtree, Jesup, GA 31545-0244 |
Name | Specialty | Organization | Address |
---|---|---|---|
William S Rowell | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
John M Valosen | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
Kyle S Deuter | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
Thomas Patrick Loumeau | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
John L Kenerly Iii | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
Jay Cook | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
Gavin Heath Denmark | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
Monica Carrion | Physical Medicine and Rehabilitation | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
Amber B Aragon | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
Mark D Byron | Urology | 162 Memorial Dr, Jesup, GA 31545-0101 | |
Find all physicians in zip 31545 |
City | JESUP |
Zip Code | 31545 |
Specialty | FAMILY PRACTICE |
City + Specialty | JESUP + FAMILY PRACTICE |
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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.