Charles W Brown (NPI# 1285686766, PAC ID# 8123046687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1285686766 |
| PAC ID by PECOS | 8123046687 |
| Professional Enrollment ID | I20051228000098 |
| Full Name | Charles W Brown |
| Organization Legal Name | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Address |
163 E Tollison St Baxley GA 31513-0120 |
| Phone Number | 9123679841 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1975 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0042389231 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| 111305 | MILLER COUNTY HOSPITAL |
| 110002 | UPSON REGIONAL MEDICAL CENTER |
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| 111327 | BACON COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3113 Prairie Clover Path, Austin, TX 78732-1946 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 163 E Tollison St, Baxley, GA 31513-0120 | 9123679841 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Organization Legal Name | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Tyler Burgner | Diagnostic Radiology | South Georgia Radiology Associates LLC | 340 Eisenhower Dr, Suite 1305, Savannah, GA 31406-1607 |
| James S Mcclellan Jr. | Diagnostic Radiology | South Georgia Radiology Associates LLC | 407 Durden St, Vidalia, GA 30474-4600 |
| Arthur L Fritz | Diagnostic Radiology | South Georgia Radiology Associates LLC | 4045 Lankford Hwy, Exmore, VA 23350-2642 |
| Jeremy R Hill | Diagnostic Radiology | South Georgia Radiology Associates LLC | 5801 Pinehurst Byromville Rd, Pinehurst, GA 31070-6907 |
| Burton D Goodwin | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Thomas M Meadows | Diagnostic Radiology | South Georgia Radiology Associates LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Deborah J Charles | Diagnostic Radiology | South Georgia Radiology Associates LLC | 902 N 7th St, Cordele, GA 31015-3234 |
| Ian B Campbell | Diagnostic Radiology | South Georgia Radiology Associates LLC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Jeffrey David Stevens | Diagnostic Radiology | South Georgia Radiology Associates LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Dale R Nance | Diagnostic Radiology | South Georgia Radiology Associates LLC | 407 Durden St, Vidalia, GA 30474-4600 |
| Street Address |
163 E TOLLISON ST |
| City | BAXLEY |
| State | GA |
| Zip | 31513-0120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josefina Y Abendan | Pediatric Medicine | The Baxley and Appling County Hospital Authority | 163 E Tollison St, Baxley, GA 31513-0120 |
| Mary K Mcmahan | Internal Medicine | The Baxley and Appling County Hospital Authority | 163 E Tollison St, Baxley, GA 31513-0120 |
| Spencer M Paterson | Interventional Pain Management | The Baxley and Appling County Hospital Authority | 163 E Tollison St, Baxley, GA 31513-0120 |
| Michael K Collins | Diagnostic Radiology | South Georgia Radiology Associates LLC | 163 E Tollison St, Baxley, GA 31513-0120 |
| Royce M Cannington Iii | Diagnostic Radiology | South Georgia Radiology Associates LLC | 163 E Tollison St, Baxley, GA 31513-0120 |
| Manuel B Cuesta | Neurology | The Baxley and Appling County Hospital Authority | 163 E Tollison St, Baxley, GA 31513-0120 |
| Errol G Graham | Internal Medicine | The Baxley and Appling County Hospital Authority | 163 E Tollison St, Baxley, GA 31513-0120 |
| Carl L Stalvey | Diagnostic Radiology | South Georgia Radiology Associates LLC | 163 E Tollison St, Baxley, GA 31513-0120 |
| Nichole S Supple | Emergency Medicine | Erx Group LLC | 163 E Tollison St, Baxley, GA 31513-0120 |
| Rebecca A Clark | Physician Assistant | The Baxley and Appling County Hospital Authority | 163 E Tollison St, Baxley, GA 31513-0120 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth E Smith | Certified Registered Nurse Anesthetist | The Baxley and Appling County Hospital Authority | 301 E Tollison, Baxley, GA 31513-0120 |
| Orlando V Fernando | Internal Medicine | The Baxley and Appling County Hospital Authority | 163 E Tollison St, Baxley, GA 31513-0120 |
| Wayne Stewart | Diagnostic Radiology | South Georgia Radiology Associates LLC | 163 E Tollison St, Baxley, GA 31513-0120 |
| John Edward Crane | Obstetrics/gynecology | The Baxley and Appling County Hospital Authority | 654 S Main St, Baxley, GA 31513-0124 |
| Ronald Stephen Reagin | Podiatry | 656 S Main St, Baxley, GA 31513-0126 | |
| Janey B Britt | Nurse Practitioner | The Baxley and Appling County Hospital Authority | 105 E Tollison St, Baxley, GA 31513-0149 |
| Matthew Randall Hodges | Nurse Practitioner | The Baxley and Appling County Hospital Authority | 105 E Tollison St, Baxley, GA 31513-0149 |
| Crystal D Bright | Family Medicine | The Baxley and Appling County Hospital Authority | 105 E Tollison St, Suite D, Baxley, GA 31513-0150 |
| Greg L Williams | Nurse Practitioner | Appling Family Total Healthcare, P.C. | 950 S Main St, Suite 2, Baxley, GA 31513-0161 |
| Kimberly Dawn Williams | Nurse Practitioner | Appling Family Total Healthcare, P.C. | 950 S Main St, Suite 2, Baxley, GA 31513-0161 |
| Find all physicians in zip 31513 | |||
| City | BAXLEY |
| Zip Code | 31513 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BAXLEY + DIAGNOSTIC RADIOLOGY |
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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.