Randall O Brien (NPI# 1346236155, PAC ID# 8426945270) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1346236155 |
| PAC ID by PECOS | 8426945270 |
| Professional Enrollment ID | I20100810000706 |
| Full Name | Randall O Brien |
| Organization Legal Name | SOUTH GEORGIA PHYSICIANS GROUP, LLC |
| Address |
1406 Habersham Dr Waycross GA 31501-5306 |
| Phone Number | 9122871130 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8224208251 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111327 | BACON COUNTY HOSPITAL |
| 110003 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC |
| Address | Phone | Organization |
|---|---|---|
| 1406 Habersham Dr, Waycross, GA 31501-5306 | 9122871130 | SOUTH GEORGIA PHYSICIANS GROUP, LLC |
| Organization Legal Name | SOUTH GEORGIA PHYSICIANS GROUP, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil Kumar Menedal | Orthopedic Surgery | South Georgia Physicians Group, LLC | 1406 Habersham Dr, Waycross, GA 31501-5306 |
| Michael E Lynch Sr. | Obstetrics/gynecology | South Georgia Physicians Group, LLC | 204 E 15th St, Alma, GA 31510-2908 |
| Khaldon A Al Saadi | General Surgery | South Georgia Physicians Group, LLC | 204 E 15th St, Alma, GA 31510-2908 |
| Street Address |
1406 HABERSHAM DR |
| City | WAYCROSS |
| State | GA |
| Zip | 31501-5306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil Kumar Menedal | Orthopedic Surgery | South Georgia Physicians Group, LLC | 1406 Habersham Dr, Waycross, GA 31501-5306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Gilbert | Chiropractic | 1705 Blvd Sq, Suite C, Waycross, GA 31501 | |
| Zachary Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| William Perry Giles | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| Scott H Petermann | Ophthalmology | South Georgia Eye Partners PC | 1730 Brunswick Hwy, Waycross, GA 31501-0908 |
| Rodney Brown | Optometry | 1730 Brunswick Hwy, Waycross, GA 31501-0908 | |
| Jarrod Griffis | Optometry | American Eyecare Center Waycross PC | 1730 Brunswick Hwy, Waycross, GA 31501-0908 |
| Peggy S Achenbach | Optometry | Myeyedr Optometry of Georgia, LLC | 2215 Memorial Dr, Suite 25, Waycross, GA 31501-0987 |
| Brandon Hall | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Amber C Pittman | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Carmen Jackson | Nurse Practitioner | Applecare LLC | 1912 Memorial Dr, Suite E, Waycross, GA 31501-0989 |
| Find all physicians in zip 31501 | |||
| City | WAYCROSS |
| Zip Code | 31501 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WAYCROSS + ORTHOPEDIC 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.