Samuel Casey Pitts (NPI# 1134539679, PAC ID# 7911222427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1134539679 |
PAC ID by PECOS | 7911222427 |
Professional Enrollment ID | I20191030001203 |
Full Name | Samuel Casey Pitts |
Organization Legal Name | UMG GENERAL SURGERY LLC |
Address |
925 Branch Ct Suite 201 Grovetown GA 30813-3325 |
Phone Number | 7065951186 |
Gender | M |
Graduation Year | 2014 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 4587885249 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110111 | UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER |
110028 | UNIVERSITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 | 7065951186 | UMG GENERAL SURGERY LLC |
2500 University Dr, Thomson, GA 30824-0040 | 7065951186 | UMG GENERAL SURGERY LLC |
Organization Legal Name | UMG GENERAL SURGERY LLC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen Ann Yeh | Surgical Oncology | Umg General Surgery LLC | 818 Saint Sebastian Way, Suite 104, Augusta, GA 30901-2652 |
Matthew S Pugliese | Surgical Oncology | Umg General Surgery LLC | 818 Saint Sebastian Way, Suite 104, Augusta, GA 30901-2652 |
Shelly B Young | Physician Assistant | Umg General Surgery LLC | 818 Saint Sebastian Way, Suite 104, Augusta, GA 30901-2652 |
Jared W Mitchell | General Surgery | Umg General Surgery LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
Street Address |
925 BRANCH CT SUITE 201 |
City | GROVETOWN |
State | GA |
Zip | 30813-3325 |
Name | Specialty | Organization | Address |
---|---|---|---|
Faiz U Rehman | Cardiovascular Disease (cardiology) | University Cardiology Associates LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
Jared W Mitchell | General Surgery | Umg General Surgery LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
Giselle Blair | Family Practice | University Medical Group LLC | 925 Branch Ct, Suite 201, Grovetown, GA 30813-3325 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelli M Carter | Family Medicine | Urgent Md Healthcare Services, P.C. | 101 Fornum Dr, Grovetown, GA 30813-2697 |
Benjamin M Gentry | Physician Assistant | Nephrology Associates PC | 442 Park 20, Grovetown, GA 30813-3216 |
Macy Caldwell | Optometry | Tippett Eyecare, PC | 701 Devika Dr, Suite 3, Grovetown, GA 30813-5137 |
Thoran Farnsworth | Diagnostic Radiology | Irad Services Inc | 5033 Vine Ln, Grovetown, GA 30813-8214 |
City | GROVETOWN |
Zip Code | 30813 |
Specialty | GENERAL SURGERY |
City + Specialty | GROVETOWN + GENERAL SURGERY |
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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.