Michael Patrick Whitledge (NPI# 1174852149, PAC ID# 7113145566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174852149 |
| PAC ID by PECOS | 7113145566 |
| Professional Enrollment ID | I20140826001797 |
| Full Name | Michael Patrick Whitledge |
| Organization Legal Name | PINELAND MHMRSA |
| Address |
4 W Altman St Statesboro GA 30458-5277 |
| Phone Number | 9127646129 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6002898616 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111306 | EFFINGHAM HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 4 W Altman St, Statesboro, GA 30458-5277 | 9127646129 | PINELAND MHMRSA |
| Organization Legal Name | PINELAND MHMRSA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swaroop Reddy | Pediatric Medicine | Pineland Mhmrsa | 11 N College St, Statesboro, GA 30458-5306 |
| Jennfier H Gray | Nurse Practitioner | Pineland Mhmrsa | 4 W Altman St, Statesboro, GA 30458-5277 |
| Thomas M Amburgey | General Practice | Pineland Mhmrsa | 263 N Brunswick St, Suite 3and4, Jesup, GA 31546-4373 |
| Phyllis A Giarraffa | Nurse Practitioner | Pineland Mhmrsa | 4 W Altman St, Statesboro, GA 30458-5277 |
| Joel S Bray | Family Medicine | Pineland Mhmrsa | 150 Memorial Dr, Reidsville, GA 30453-4652 |
| Jacqueline K Locrotondo | Osteopathic Manipulative Medicine | Pineland Mhmrsa | 11 N College St, Statesboro, GA 30458-5306 |
| Michael Daly | Nurse Practitioner | Pineland Mhmrsa | 150 Memorial Dr, Reidsville, GA 30453-4652 |
| Jessica R Dasher | Nurse Practitioner | Pineland Mhmrsa | 4 W Altman St, Statesboro, GA 30458-5277 |
| Ivy L Shuman Jr. | Emergency Medicine | Pineland Mhmrsa | 4 W Altman St, Statesboro, GA 30458-5277 |
| Jessie L Petrea | Psychiatry | Pineland Mhmrsa | 150 Memorial Dr, Reidsville, GA 30453-4652 |
| Street Address |
4 W ALTMAN ST |
| City | STATESBORO |
| State | GA |
| Zip | 30458-5277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennfier H Gray | Nurse Practitioner | Pineland Mhmrsa | 4 W Altman St, Statesboro, GA 30458-5277 |
| Phyllis A Giarraffa | Nurse Practitioner | Pineland Mhmrsa | 4 W Altman St, Statesboro, GA 30458-5277 |
| Jessica R Dasher | Nurse Practitioner | Pineland Mhmrsa | 4 W Altman St, Statesboro, GA 30458-5277 |
| Ivy L Shuman Jr. | Emergency Medicine | Pineland Mhmrsa | 4 W Altman St, Statesboro, GA 30458-5277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy O Kitching | Chiropractic | 2 Ed Moore Court, Statesboro, GA 30458 | |
| Samuel D Chapman | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Karen C Penrose | Nurse Practitioner | Sidney P Smith Md PC | 6677 Ga Hwy 67, Statesboro, GA 30458 |
| Elizabeth Hinely | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Andrea B Pitts | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Anuj Goel | Psychiatry | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Deborah Stewart | Nurse Practitioner | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Saraju C Dalsania | Internal Medicine | 1601 Fair Rd, Suite 700, Statesboro, GA 30458-0800 | |
| Stacey C Basquin | Physician Assistant | East Georgia Hma Physician Management LLC | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-0800 |
| Harsh Bhushan | Hematology/oncology | 1601 Fair Rd, Suite 900, Statesboro, GA 30458-0800 | |
| Find all physicians in zip 30458 | |||
| City | STATESBORO |
| Zip Code | 30458 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | STATESBORO + PHYSICIAN ASSISTANT |
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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.