Robert Dickerson (NPI# 1003853052, PAC ID# 5193618650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1003853052 |
| PAC ID by PECOS | 5193618650 |
| Professional Enrollment ID | I20040206000765 |
| Full Name | Robert Dickerson |
| Organization Legal Name | PHOEBE PHYSICIAN GROUP INC |
| Address |
417 W 3rd Ave Albany GA 31701-1943 |
| Phone Number | 2293125133 |
| Gender | M |
| Credential | CNA |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8426112350 |
| Number of Group Practice Members | 318 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110007 | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 417 W 3rd Ave, Albany, GA 31701-1943 | 2293125133 | PHOEBE PHYSICIAN GROUP INC |
| Organization Legal Name | PHOEBE PHYSICIAN GROUP INC |
| Physicians | 309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haylee H Ward | Nurse Practitioner | Phoebe Physician Group Inc | 120 Us Hwy 280 W, Americus, GA 31719-8645 |
| Ryan B Breland | Orthopedic Surgery | Phoebe Physician Group Inc | 132 Us Hwy 280 W, Americus, GA 31719-8645 |
| Noelle A Rolle | Internal Medicine | Phoebe Physician Group Inc | 2709 Meredyth Dr, Suite 340, Albany, GA 31707-0219 |
| Amitabh Kumar | Internal Medicine | Phoebe Physician Group Inc | 2740 Ray Knight Way, Suite 100, Albany, GA 31707-0226 |
| Abel Romero-corral | Internal Medicine | Phoebe Physician Group Inc | 425 W 3rd Ave Level, Albany, GA 31701-1941 |
| Dwaipayan Choudhury | Family Medicine | Phoebe Physician Group Inc | 922 E Jefferson St, Suite B, Americus, GA 31709-4781 |
| Gillian Leeder | Nurse Practitioner | Phoebe Physician Group Inc | 2336 Dawson Rd, Suite 1500, Albany, GA 31707-2802 |
| Sarah E Tanner | Nurse Practitioner | Phoebe Physician Group Inc | 131 E 6th Ave, Buena Vista, GA 31803-9714 |
| Brittany P Stalvey | Nurse Practitioner | Phoebe Physician Group Inc | 2002 Palmyra Rd, Suite 101, Albany, GA 31701-1593 |
| Betsy K Diaz | Nurse Practitioner | Phoebe Physician Group Inc | 901 N Madison St, Albany, GA 31701-2210 |
| Street Address |
417 W 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip | 31701-1943 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugenia Payne | Diagnostic Radiology | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Andrew G Misulia | Emergency Medicine | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Nicole Brigette Thomas | Internal Medicine | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Jason Gabriel Barnhart | Family Medicine | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Priscilla Ellen Egyir-biney | Internal Medicine | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Daniel A Jones | Radiation Oncology | Phoebe Putney Memorial Hosptial, Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Leslie G Aldridge | Nurse Practitioner | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Deborah A Marks-jones | Pathology | Sw Georgia Pathology Associates | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Terrance L Cannon | Certified Registered Nurse Anesthetist (crna) | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Christinia M Baker | Anesthesiology Assistant | Phoebe Physician Group Inc | 417 W 3rd Ave, Albany, GA 31701-1943 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Carroll | Chiropractic | 1108 Whispering Pines Rd, Albany, GA 31701-1001 | |
| Rajesh Rangaraj | Ophthalmology | 1909 Aberdeen Rd, Suite 108, Albany, GA 31701-1300 | |
| Kalpesh Patel | Neurology | 701 14th Ave, Albany, GA 31701-1301 | |
| Stanley James Moye | Plastic and Reconstructive Surgery | 2101 Palmyra Rd, Albany, GA 31701-1319 | |
| Sheena Elois Favors | Obstetrics/gynecology | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Corinna M Gilkey | Certified Nurse Midwife (cnm) | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Lodz Samantha Joseph | Certified Nurse Midwife (cnm) | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Stacia L Dzikunu | Obstetrics/gynecology | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Clare Soileau Terry | Certified Nurse Midwife (cnm) | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Donald Jones | Obstetrics/gynecology | Albany Area Primary Health Care Inc | 2100 Palmyra Rd, Albany, GA 31701-1320 |
| Find all physicians in zip 31701 | |||
| City | ALBANY |
| Zip Code | 31701 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ALBANY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Robert Dickerson.
| 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.