Brittany R Tice (NPI# 1588003651, PAC ID# 3375787534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1588003651 |
PAC ID by PECOS | 3375787534 |
Professional Enrollment ID | I20130910000648 |
Full Name | Brittany R Tice |
Organization Legal Name | GEORGIA EMERGENCY ASSOCIATES IMMEDIATE CARE CENTER |
Address |
107 Canal St Pooler GA 31322-4016 |
Phone Number | 9124501945 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 8628973948 |
Number of Group Practice Members | 38 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110024 | CANDLER HOSPITAL |
Address | Phone | Organization |
---|---|---|
107 Canal St, Pooler, GA 31322-4016 | 9124501945 | GEORGIA EMERGENCY ASSOCIATES IMMEDIATE CARE CENTER |
5621 Hwy 21 S, Rincon, GA 31326-9416 | 9122955860 | GEORGIA EMERGENCY ASSOCIATES IMMEDIATE CARE CENTER |
361 Commercial Dr, Savannah, GA 31406-3659 | 9123556221 | GEORGIA EMERGENCY ASSOCIATES IMMEDIATE CARE CENTER |
Organization Legal Name | GEORGIA EMERGENCY ASSOCIATES IMMEDIATE CARE CENTER |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laura A Cavicchi | Nurse Practitioner | Georgia Emergency Associates Immediate Care Center | 361 F Commercial Dr, Savannah, GA 31406-3614 |
Anastasia Davis | Nurse Practitioner | Georgia Emergency Associates Immediate Care Center | 1096 Bermuda Run, Statesboro, GA 30458-0858 |
Brian Jay Kornblatt | General Practice | Georgia Emergency Associates Immediate Care Center | 3 Progressive St, Bluffton, SC 29910-5165 |
Natalie Miller | Physician Assistant | Georgia Emergency Associates Immediate Care Center | 3 Progressive St, Bluffton, SC 29910-5165 |
James R Hughes | General Practice | Georgia Emergency Associates Immediate Care Center | 3 Progressive St, Bluffton, SC 29910-5165 |
Melanie Lee Howard | Nurse Practitioner | Georgia Emergency Associates Immediate Care Center | 3 Progressive St, Bluffton, SC 29910-5165 |
Valerie K Conway | Nurse Practitioner | Georgia Emergency Associates Immediate Care Center | 361 F Commercial Dr, Savannah, GA 31406-3614 |
Street Address |
107 CANAL ST |
City | POOLER |
State | GA |
Zip | 31322-4016 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas F Danello | Emergency Medicine | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Patricia B Butler | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Janet D Ohara | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Angela C Wooley | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Stephen S Pohl | Internal Medicine | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Jean M Bailey | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Henry W Brower | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Reginald Davis Jr. | Emergency Medicine | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Jessica L Pimentel | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Delia Collins | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Eric William Spreeman | Occupational Therapy | Tattnall Hospital Company LLC | 101 W Mulberry Blvd, Suite 140, Pooler, GA 31322 |
Wayne Depaz | Chiropractic | 1017 Us Hwy 80 E 17, Pooler, GA 31322 | |
Dawn Hostetter Macmillan | Qualified Audiologist | 410s W Hwy 80, Pooler, GA 31322 | |
Nicholas Theodotou | Oral Surgery | 506 Us Hwy 80 W, Pooler, GA 31322-2104 | |
Preston L Peacock | Chiropractic | 408 Us Hwy 80 Sw, Pooler, GA 31322-2541 | |
Thomas Henry Bombery | Chiropractic | 122 Canal St, Suite 109, Pooler, GA 31322-4015 | |
Angela O Higgs | Family Medicine | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Jennifer Kline Wagner | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Caitlin A Wilburn | Physician Assistant | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Marci A Woo-sheffield | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
Find all physicians in zip 31322 |
City | POOLER |
Zip Code | 31322 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | POOLER + 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.