Heywood K Gay (NPI# 1205920428, PAC ID# 4688684244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1205920428 |
| PAC ID by PECOS | 4688684244 |
| Professional Enrollment ID | I20090416000491 |
| Full Name | Heywood K Gay |
| Organization Legal Name | SCREVEN COUNTY HOSPITAL LLC |
| Address |
961 E Winthrope Ave Millen GA 30442-1839 |
| Phone Number | 4789820120 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5496944712 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111312 | OPTIM MEDICAL CENTER - SCREVEN |
| 111311 | JENKINS COUNTY MEDICAL CENTER |
| 110028 | UNIVERSITY HOSPITAL |
| 110075 | EAST GEORGIA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 961 E Winthrope Ave, Millen, GA 30442-1839 | 4789820120 | SCREVEN COUNTY HOSPITAL LLC |
| Organization Legal Name | SCREVEN COUNTY HOSPITAL LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie G. Bird | Nurse Practitioner | Screven County Hospital LLC | 961 E Winthrope Ave, Millen, GA 30442-1839 |
| Sherma Peter | Family Medicine | Screven County Hospital LLC | 211 Mims Rd, Sylvania, GA 30467-1994 |
| Kendall Kent-clark | Nurse Practitioner | Screven County Hospital LLC | 211 Mims Rd, Sylvania, GA 30467-1994 |
| Street Address |
961 E WINTHROPE AVE |
| City | MILLEN |
| State | GA |
| Zip | 30442-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie G. Bird | Nurse Practitioner | Screven County Hospital LLC | 961 E Winthrope Ave, Millen, GA 30442-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Lascuna | Nurse Practitioner | Southland Optim Jenkins Emergency Medical Services, LLC | 931 E Winthrope Ave, Millen, GA 30442-1839 |
| Prakul Chandra | Family Medicine | 931 E Winthrope Ave, Millen, GA 30442-1839 | |
| Billie S Stout | Nurse Practitioner | East Georgia Healthcare Center, Inc. | 1075 E Winthrope Ave, Millen, GA 30442-6766 |
| City | MILLEN |
| Zip Code | 30442 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MILLEN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Heywood K Gay.
| 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.