Bert Puckett Wall (NPI# 1154423754, PAC ID# 7315924917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154423754 |
| PAC ID by PECOS | 7315924917 |
| Professional Enrollment ID | I20040702000549 |
| Full Name | Bert Puckett Wall |
| Organization Legal Name | HIGHTOWER PHYSICIAN SERVICES, PC |
| Address |
801 W Gordon St Thomaston GA 30286-3426 |
| Phone Number | 7066478111 |
| Gender | M |
| Credential | MD |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486903176 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110002 | UPSON REGIONAL MEDICAL CENTER |
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| Address | Phone | Organization |
|---|---|---|
| 801 W Gordon St, Thomaston, GA 30286-3426 | 7066478111 | HIGHTOWER PHYSICIAN SERVICES, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | HIGHTOWER PHYSICIAN SERVICES, PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammie Ann Williams | Nurse Practitioner | Hightower Physician Services, PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Stewart V Grizzard | Family Medicine | Hightower Physician Services, PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Sara Knabe | Hospitalist | Hightower Physician Services, PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Richard W Robinson | Internal Medicine | Hightower Physician Services, PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Street Address |
801 W GORDON ST |
| City | THOMASTON |
| State | GA |
| Zip | 30286-3426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ningxing Chen | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Tammie Ann Williams | Nurse Practitioner | Hightower Physician Services, PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Alan B Miller | Emergency Medicine | Hightower Emergency Group PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Salih O Faldon | Family Medicine | Hightower Emergency Group PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Gerson Paull | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Carolyn Kinzer Bezanson Wall | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Curtis Clayton Howell Ii | Certified Registered Nurse Anesthetist (crna) | Guardian Medical Services LLC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Ian B Campbell | Diagnostic Radiology | South Georgia Radiology Associates LLC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Anthony J Marchetti | Internal Medicine | Hightower Emergency Group PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Jonathan Brinser | Certified Registered Nurse Anesthetist (crna) | Guardian Medical Services LLC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary S Gamel | Nurse Practitioner | Upson Family Medical Center, LLC | 1512 Hwy 19 N, Thomaston, GA 30286-2258 |
| George L Capo | Family Medicine | Upson Family Medical Center, LLC | 1512 Hwy 19 N, Thomaston, GA 30286-2258 |
| Lisa Hammock | Nurse Practitioner | Upson Family Medical Center, LLC | 1512 Hwy 19 N, Thomaston, GA 30286-2258 |
| Jessica E Strickland | Nurse Practitioner | Upson Family Medical Center, LLC | 1512 Hwy 19 N, Thomaston, GA 30286-2258 |
| Jonniece Priester | Nurse Practitioner | Upson Family Medical Center, LLC | 1512 Hwy 19 N, Thomaston, GA 30286-2258 |
| Hugh D Smith Ii | Obstetrics/gynecology | Upson Womens Services LLC | 214 Cherokee Rd, Thomaston, GA 30286-3402 |
| Lethenia Joy Baker | Obstetrics/gynecology | Upson Womens Services LLC | 214 Cherokee Rd, Thomaston, GA 30286-3402 |
| Rhonda M Brooks | Nurse Practitioner | Upson Womens Services LLC | 214 Cherokee Rd, Thomaston, GA 30286-3402 |
| Nicolas Psomiadis | Obstetrics/gynecology | Upson Womens Services LLC | 214 Cherokee Rd, Thomaston, GA 30286-3402 |
| Darryl H Knight | General Surgery | Upson Surgical Associates, LLC | 612 W Gordon St, Suite E, Thomaston, GA 30286-3416 |
| Find all physicians in zip 30286 | |||
| City | THOMASTON |
| Zip Code | 30286 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | THOMASTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bert Puckett Wall.
| 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.