Richard S White Iii (NPI# 1275528325, PAC ID# 5496944779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1275528325 |
| PAC ID by PECOS | 5496944779 |
| Professional Enrollment ID | I20110118001352 |
| Full Name | Richard S White Iii |
| Organization Legal Name | ST MARY'S MEDICAL GROUP, INC |
| Address |
355 Clear Creek Pkwy Suite 1003 Lavonia GA 30553-4271 |
| Phone Number | 7063893440 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7113098393 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110027 | TY COBB REGIONAL MEDICAL CENTER, LLC |
| Address | Phone | Organization |
|---|---|---|
| 355 Clear Creek Pkwy, Suite 1003, Lavonia, GA 30553-4271 | 7063893440 | ST MARY'S MEDICAL GROUP, INC |
| Organization Legal Name | ST MARY'S MEDICAL GROUP, INC |
| Physicians | 77 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Anne Lockhart | Neurology | St Mary's Medical Group, Inc | 2470 Daniels Bridge Rd, Athens, GA 30606-6188 |
| Lauren Hearn | Family Medicine | St Mary's Medical Group, Inc | 12134 Augusta Rd, Suite A, Lavonia, GA 30553-1224 |
| Mary Catherine Sims | Nurse Practitioner | St Mary's Medical Group, Inc | 4017 Atlanta Hwy B, Athens, GA 30606-0812 |
| Joshua M Lang | Family Medicine | St Mary's Medical Group, Inc | 1110 Commerce Dr, Suite 108, Greensboro, GA 30642-7444 |
| Amanda Gunter | Nurse Practitioner | St Mary's Medical Group, Inc | 1500 Oglethorpe Ave, Athens, GA 30606-2165 |
| Robin Myers | Nurse Practitioner | St Mary's Medical Group, Inc | 2410 Hog Mountain Rd, Suite 201, Watkinsville, GA 30677-4850 |
| Matthew David Kellar | Physical Therapy | St Mary's Medical Group, Inc | 2142 W Broad St, Suite 200, Athens, GA 30606-3506 |
| Lyn S Lowman | Cardiovascular Disease (cardiology) | St Mary's Medical Group, Inc | 355 Clear Creek Pkwy, Lavonia, GA 30553-4271 |
| Michelle A Nuss | Internal Medicine | St Mary's Medical Group, Inc | 1500 Oglethorpe Ave, Athens, GA 30606-2165 |
| Scarlett Elizabeth Schneider | Internal Medicine | St Mary's Medical Group, Inc | 1500 Oglethorpe Ave, Suite 200c, Athens, GA 30606-2165 |
| Street Address |
355 CLEAR CREEK PKWY SUITE 1003 |
| City | LAVONIA |
| State | GA |
| Zip | 30553-4271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyn S Lowman | Cardiovascular Disease (cardiology) | St Mary's Medical Group, Inc | 355 Clear Creek Pkwy, Lavonia, GA 30553-4271 |
| Robert M Steadham | Neurology | St Mary's Medical Group, Inc | 355 Clear Creek Pkwy, Lavonia, GA 30553-4271 |
| Ryan M Katz | General Surgery | St Mary's Medical Group, Inc | 355 Clear Creek Pkwy, Lavonia, GA 30553-4271 |
| Amit Shah | Cardiovascular Disease (cardiology) | St Mary's Medical Group, Inc | 355 Clear Creek Pkwy, Lavonia, GA 30553-4271 |
| James R Bauerband | Obstetrics/gynecology | St Mary's Medical Group, Inc | 355 Clear Creek Pkwy, Suite 1004, Lavonia, GA 30553-4271 |
| Albert B. Mercer | Cardiovascular Disease (cardiology) | Heart Center LLC | 355 Clear Creek Pkwy, Suite 2004, Lavonia, GA 30553-4271 |
| John W Layher | Cardiovascular Disease (cardiology) | St Mary's Medical Group, Inc | 355 Clear Creek Pkwy, Lavonia, GA 30553-4271 |
| Jennifer Lauren Vincent | Physician Assistant | St Mary's Medical Group, Inc | 355 Clear Creek Pkwy, Lavonia, GA 30553-4271 |
| William Andrew Lawrence | General Surgery | St Mary's Medical Group, Inc | 355 Clear Creek Pkwy, Lavonia, GA 30553-4271 |
| Jeffrey A Thomas | Hematology/oncology | University Cancer and Blood Center, LLC | 355 Clear Creek Pkwy, Suite 2007, Lavonia, GA 30553-4271 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Larue Jones | Physical Therapy | Christopher E. Doerr, D.o., P.C. | 12605 Augusta Rd, Lavonia, GA 30553-1053 |
| Erin Elizabeth Sullivan | Nurse Practitioner | Christopher E. Doerr, D.o., P.C. | 12605 Augusta Rd, Lavonia, GA 30553-1053 |
| Andrew Armour Wilson | Ophthalmology | Keller, Crymes, Demarco LLC | 13375 Jones St, Suite B2, Lavonia, GA 30553-1147 |
| Marla Thurman Vandyck | Physical Therapy | Christopher E. Doerr, D.o., P.C. | 13231 Jones St, Lavonia, GA 30553-1162 |
| Amy B. Freeman | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 12192 Augusta Rd, Lavonia, GA 30553-1209 |
| Richard Allen Kay | Physician Assistant | Toccoa Clinic Medical Associates, LLP | 12192 Augusta Rd, Lavonia, GA 30553-1209 |
| Russell R Burken | Dermatology | Toccoa Clinic Medical Associates, LLP | 12192 Augusta Rd, Lavonia, GA 30553-1209 |
| Margaret Kopchick | Dermatology | Toccoa Clinic Medical Associates, LLP | 12192 Augusta Rd, Lavonia, GA 30553-1209 |
| Jeffrey H Bailey | Chiropractic | 11929 Augusta Rd, Lavonia, GA 30553-1214 | |
| Lauren Hearn | Family Medicine | St Mary's Medical Group, Inc | 12134 Augusta Rd, Suite A, Lavonia, GA 30553-1224 |
| Find all physicians in zip 30553 | |||
| City | LAVONIA |
| Zip Code | 30553 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LAVONIA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Richard S White Iii.
| 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.