Casey R Black (NPI# 1003151028, PAC ID# 9436302619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003151028 |
| PAC ID by PECOS | 9436302619 |
| Professional Enrollment ID | I20130122000341 |
| Full Name | Casey R Black |
| Organization Legal Name | MAGNOLIA MEDICAL GROUP, LLC |
| Address |
101 Chase Court Nw Suite B Milledgeville GA 31061-7188 |
| Phone Number | 4784532341 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799066387 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110150 | NAVICENT HEALTH BALDWIN |
| Address | Phone | Organization |
|---|---|---|
| 101 Chase Court Nw, Suite B, Milledgeville, GA 31061-7188 | 4784532341 | MAGNOLIA MEDICAL GROUP, LLC |
| Organization Legal Name | MAGNOLIA MEDICAL GROUP, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey S Crumbley | Emergency Medicine | Magnolia Medical Group, LLC | 101 Chase Court Nw, Suite B, Milledgeville, GA 31061-7188 |
| Street Address |
101 CHASE COURT NW SUITE B |
| City | MILLEDGEVILLE |
| State | GA |
| Zip | 31061-7188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey S Crumbley | Emergency Medicine | Magnolia Medical Group, LLC | 101 Chase Court Nw, Suite B, Milledgeville, GA 31061-7188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard Mark Tortorice | Anesthesiology | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
| Daniel Eldridge Mcalvin | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
| Natasha A Parker | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
| Harinder Singh Brar | General Surgery | 315 N Cobb St, Milledgeville, GA 31061-0315 | |
| Sarah M Cook | Chiropractic | 130 Log Cabin Rd, Suite B, Milledgeville, GA 31061-0918 | |
| Heather Herring | Nurse Practitioner | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
| Adegboyega O Orelaja | Physician Assistant | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
| Gururaj Nayak | Internal Medicine | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
| Alan J Liebe | Chiropractic | 1776 N Jefferson St, Milledgeville, GA 31061-2215 | |
| Thuy Diem Giang | Podiatry | 1820 N Columbia St, Milledgeville, GA 31061-2300 | |
| Find all physicians in zip 31061 | |||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MILLEDGEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Casey R Black.
| 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.