John T Madonna (NPI# 1912933870, PAC ID# 4981507175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1912933870 |
| PAC ID by PECOS | 4981507175 |
| Professional Enrollment ID | I20050513000546 |
| Full Name | John T Madonna |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Address |
1506 Alice St Waycross GA 31501-4531 |
| Phone Number | 9122853087 |
| Gender | M |
| Credential | MD |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860411188 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110003 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS |
| Address | Phone | Organization |
|---|---|---|
| 1801 Barrs St, Suite 120, Jacksonville, FL 32204-4738 | 9043082006 | ST VINCENT'S AMBULATORY CARE INC |
| 1506 Alice St, Waycross, GA 31501-4531 | 9122853087 | ST VINCENT'S AMBULATORY CARE INC |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Physicians | 317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadine Wlasiuk | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1658 St Vincent's Way, Suite 300, Middleburg, FL 32068-8431 |
| Felipe Velazquez | Family Medicine | St Vincent's Ambulatory Care Inc | 6488 103rd St, Suite B, Jacksonville, FL 32210-7161 |
| Carlos Mora | Neurology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 724, Jacksonville, FL 32204-4786 |
| Ronnesia Austin Wright | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1503 Oak St, Jacksonville, FL 32204-3910 |
| Christa W Lehman | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 858 Monument Rd, Suite B, Jacksonville, FL 32225-6670 |
| Troy F Borema | Family Medicine | St Vincent's Ambulatory Care Inc | 12311 San Jose Blvd, Jacksonville, FL 32223-2673 |
| Tanielle Lamonika Brew | Family Medicine | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 |
| Austin J Chaput | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Samantha J Barry | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 11512 Lake Mead Ave, Suite 521, Jacksonville, FL 32256-5835 |
| Caroline R Price | Family Medicine | St Vincent's Ambulatory Care Inc | 6856 103rd St, Jacksonville, FL 32210-6877 |
| Street Address |
1506 ALICE ST |
| City | WAYCROSS |
| State | GA |
| Zip | 31501-4531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Johnson | Physician Assistant | St Vincent's Ambulatory Care Inc | 1506 Alice St, Waycross, GA 31501-4531 |
| Deborah C Stively | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1506 Alice St, Waycross, GA 31501-4531 |
| Marvin P Jones | Internal Medicine | St Vincent's Ambulatory Care Inc | 1506 Alice St, Waycross, GA 31501-4531 |
| 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 |
| Scott H Petermann | Ophthalmology | South Georgia Eye Partners PC | 1730 Brunswick Hwy, Waycross, GA 31501-0908 |
| 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 |
| 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 |
| Find all physicians in zip 31501 | |||
| City | WAYCROSS |
| Zip Code | 31501 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | WAYCROSS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.