Charles S Edenfield (NPI# 1467492785, PAC ID# 9436285822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1467492785 |
| PAC ID by PECOS | 9436285822 |
| Professional Enrollment ID | I20100324000784 |
| Full Name | Charles S Edenfield |
| Organization Legal Name | MIDDLE GEORGIA MEDICAL ASSOCIATES, P.C. |
| Address |
623 S Houston Lake Rd Suite 200 Warner Robins GA 31088-9094 |
| Phone Number | 4789236633 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1985 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 7517955164 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110069 | HOUSTON MEDICAL CENTER |
| 110153 | PERRY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 623 S Houston Lake Rd, Suite 200, Warner Robins, GA 31088-9094 | 4789236633 | MIDDLE GEORGIA MEDICAL ASSOCIATES, P.C. |
| Organization Legal Name | MIDDLE GEORGIA MEDICAL ASSOCIATES, P.C. |
| Physicians | 1 |
| Street Address |
623 S HOUSTON LAKE RD SUITE 200 |
| City | WARNER ROBINS |
| State | GA |
| Zip | 31088-9094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gayatri N Kamat | Internal Medicine | Warner Robins Medical Clinic, PC | 623 S Houston Lake Rd, Suite 500, Warner Robins, GA 31088-9093 |
| Tausha Rhoades | Nurse Practitioner | Warner Robins Medical Clinic, PC | 623 S Houston Lake Rd, Suite 500, Warner Robins, GA 31088-9093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camille S Lundi | Nurse Practitioner | Allergy Associates, Pa | 403 Margie Dr, Warner Robins, GA 31088 |
| Becky L Campbell | Internal Medicine | 500 Spillers Way, Warner Robins, GA 31088-0513 | |
| Kevin J Baggett | Family Medicine | 500 Spillers Way, Warner Robins, GA 31088-0513 | |
| Navid Khoshooee | Optometry | 1112 Russell Pkwy, Suite C, Warner Robins, GA 31088-1819 | |
| Michael P Butler | Chiropractic | 2278 Moody Rd, Suite C, Warner Robins, GA 31088-1925 | |
| Donald S Meck | Psychologist, Clinical | 2278 Moody Rd D, Warner Robins, GA 31088-1933 | |
| Donna Y Rait | Psychologist, Clinical | 2278 Moody Rd, D, Warner Robins, GA 31088-1933 | |
| Kazumi Chino | Diagnostic Radiology | Central Georgia Radiation Oncology Center | 114 Sutherlin Dr R, Warner Robins, GA 31088-2259 |
| Rachel Hinson Youngblood | Physician Assistant | Central Georgia Cancer Care, P.C. | 114 Sutherlin Dr, Suite 1, Warner Robins, GA 31088-2259 |
| Amanda Knauer Hale | Physician Assistant | Central Georgia Cancer Care, P.C. | 114 Sutherlin Dr, Suite 1, Warner Robins, GA 31088-2259 |
| Find all physicians in zip 31088 | |||
| City | WARNER ROBINS |
| Zip Code | 31088 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | WARNER ROBINS + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Charles S Edenfield.
| 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.