Edward Kearfott Clark (NPI# 1669448569, PAC ID# 7517142680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1669448569 |
| PAC ID by PECOS | 7517142680 |
| Professional Enrollment ID | I20110505000258 |
| Full Name | Edward Kearfott Clark |
| Organization Legal Name | HEALTH SERVICES OF CENTRAL GEORGIA |
| Address |
722 1st St Macon GA 31201-6840 |
| Phone Number | 4786337330 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 9638076730 |
| Number of Group Practice Members | 200 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 722 1st St, Macon, GA 31201-6840 | 4786337330 | HEALTH SERVICES OF CENTRAL GEORGIA |
| 744 1st St, Macon, GA 31201-6840 | 4786337600 | HEALTH SERVICES OF CENTRAL GEORGIA |
| 770 Pine St, Suite 140, Macon, GA 31201-7577 | 4786331821 | HEALTH SERVICES OF CENTRAL GEORGIA |
| Organization Legal Name | HEALTH SERVICES OF CENTRAL GEORGIA |
| Physicians | 165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra J Weatherall | Nurse Practitioner | Health Services of Central Georgia | 744 1st St, Macon, GA 31201-6840 |
| Japan White | Nurse Practitioner | Health Services of Central Georgia | 1014 Forsyth St, Suite 300, Macon, GA 31201-2025 |
| David Brandon Bradley | Physician Assistant | Health Services of Central Georgia | 106 Hospital Perimeter Rd, Eatonton, GA 31024-8502 |
| Laurie E Cochran | Family Medicine | Health Services of Central Georgia | 120 N Lee St, Suite A, Forsyth, GA 31029-2122 |
| Shanna B Holcomb | Obstetrics/gynecology | Health Services of Central Georgia | 101 Greensboro Rd, Eatonton, GA 31024-6054 |
| Laura M Trice | Nurse Practitioner | Health Services of Central Georgia | 4600 Bill Gardner Pkwy, Suite 200, Locust Grove, GA 30248-2427 |
| Michelle F Rowell | Nurse Practitioner | Health Services of Central Georgia | 320 Margie Dr, Warner Robins, GA 31088-7817 |
| Dudley B Christie Iii | General Surgery | Health Services of Central Georgia | 777 Hemlock St, Macon, GA 31201-2102 |
| Shane Hill | Nurse Practitioner | Health Services of Central Georgia | 777 Hemlock St, Macon, GA 31201-2102 |
| Betty Jo L Fancher | Physician Assistant | Health Services of Central Georgia | 120 N Lee St, Suite A, Forsyth, GA 31029-2122 |
| Street Address |
722 1ST ST |
| City | MACON |
| State | GA |
| Zip | 31201-6840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith A Gay | Nurse Practitioner | Health Services of Central Georgia | 722 1st St, Macon, GA 31201-6840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fady S Wanna | Thoracic Surgery | 688 Walnut St, Suite 102, Macon, GA 31201-0329 | |
| Kuo L Lee | Diagnostic Radiology | Medrad LLC | 1818 Forsyth St, Suite 100, Macon, GA 31201-1102 |
| Pankaj T Patel | Diagnostic Radiology | Medrad LLC | 1818 Forsyth St, Suite 100, Macon, GA 31201-1102 |
| Felicity A Quansah | Ophthalmology | 1870 Hardeman Ave, Macon, GA 31201-1161 | |
| M Gary Carter | Ophthalmology | 1867 Forsyth St, Macon, GA 31201-1166 | |
| Conrad N Miller | Family Medicine | 1818 Forsyth St, Suite 200, Macon, GA 31201-1170 | |
| Andrew Hall | Occupational Therapy | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Emily C Kell | Physical Therapy | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Steven A Kelham | Physician Assistant | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Brandon D Cantrell | Physician Assistant | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Find all physicians in zip 31201 | |||
| City | MACON |
| Zip Code | 31201 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | MACON + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Edward Kearfott Clark.
| 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.