Scott H Petermann (NPI# 1043215759, PAC ID# 4082691381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1043215759 |
| PAC ID by PECOS | 4082691381 |
| Professional Enrollment ID | I20040706000293 |
| Full Name | Scott H Petermann |
| Organization Legal Name | SOUTH GEORGIA EYE PARTNERS PC |
| Address |
1730 Brunswick Hwy Waycross GA 31501-0908 |
| Phone Number | 2292442068 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3375671589 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 234 Sw Range Ave, Madison, FL 32340-2323 | 2292442068 | SOUTH GEORGIA EYE PARTNERS PC |
| 416 Tifton Ave N, Tifton, GA 31794-4466 | 2293914180 | SOUTH GEORGIA EYE PARTNERS PC |
| 4120 N Valdosta Rd, Suite A, Valdosta, GA 31602-4973 | 2292442068 | SOUTH GEORGIA EYE PARTNERS PC |
| 4380 Kings Way, Valdosta, GA 31602-6921 | 2292442068 | SOUTH GEORGIA EYE PARTNERS PC |
| 1730 Brunswick Hwy, Waycross, GA 31501-0908 | 2292442068 | SOUTH GEORGIA EYE PARTNERS PC |
| 403 Lister St, Waycross, GA 31501-5225 | 9125900156 | SOUTH GEORGIA EYE PARTNERS PC |
| Organization Legal Name | SOUTH GEORGIA EYE PARTNERS PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren K Rowe | Optometry | South Georgia Eye Partners PC | 115 5th St Se, Moultrie, GA 31768-4834 |
| Valerie Cecelia Ferrell | Optometry | South Georgia Eye Partners PC | 4120 N Valdosta Rd, Suite A, Valdosta, GA 31602-4973 |
| Solomon Wesley Ross | Ophthalmology | South Georgia Eye Partners PC | 4380 Kings Way, Valdosta, GA 31602-6921 |
| Jodie S Norman | Optometry | South Georgia Eye Partners PC | 416 Tifton Ave N, Tifton, GA 31794-4466 |
| Melanie Ann Hill | Optometry | South Georgia Eye Partners PC | 234 Sw Range Ave, Madison, FL 32340-2323 |
| James Garrett Webster | Ophthalmology | South Georgia Eye Partners PC | 4120 N Valdosta Rd, Suite A, Valdosta, GA 31602-4973 |
| Eric M Kolisz | Optometry | South Georgia Eye Partners PC | 4120 N Valdosta Rd, Suite A, Valdosta, GA 31602-4973 |
| Street Address |
1730 BRUNSWICK HWY |
| City | WAYCROSS |
| State | GA |
| Zip | 31501-0908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney Brown | Optometry | 1730 Brunswick Hwy, Waycross, GA 31501-0908 | |
| Jarrod Griffis | Optometry | American Eyecare Center Waycross PC | 1730 Brunswick Hwy, Waycross, GA 31501-0908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Gilbert | Chiropractic | 1705 Blvd Sq, Suite C, Waycross, GA 31501 | |
| Zachary Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| William Perry Giles | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| Peggy S Achenbach | Optometry | Myeyedr Optometry of Georgia, LLC | 2215 Memorial Dr, Suite 25, Waycross, GA 31501-0987 |
| Brandon Hall | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Amber C Pittman | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Carmen Jackson | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Alvin Webster | Emergency Medicine | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Kalpana M Nayak | Family Practice | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Dawn Driggers | Nurse Practitioner | Peter Wrobel Md PC | 1720 Old Reynolds St, Waycross, GA 31501-1036 |
| Find all physicians in zip 31501 | |||
| City | WAYCROSS |
| Zip Code | 31501 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | WAYCROSS + OPHTHALMOLOGY |
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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.