James Oliviere Jr. (NPI# 1891977146, PAC ID# 9537247143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891977146 |
| PAC ID by PECOS | 9537247143 |
| Professional Enrollment ID | I20080423000248 |
| Full Name | James Oliviere Jr. |
| Organization Legal Name | CAEDEL MEDICAL GROUP |
| Address |
1324 Hwy 138 Riverdale GA 30296-1404 |
| Phone Number | 7709074949 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648258988 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110069 | HOUSTON MEDICAL CENTER |
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| Address | Phone | Organization |
|---|---|---|
| 1118 Hwy 96 W, Kathleen, GA 31047 | 4789224281 | HOUSTON HOSPITALS INC |
| 2510 Hwy 127, Kathleen, GA 31047 | 4789224281 | HOUSTON HOSPITALS INC |
| 777 Hemlock St, Macon, GA 31201-2102 | 4786331000 | THE MEDICAL CENTER OF CENTRAL GEORGIA |
| 1324 Hwy 138, Riverdale, GA 30296-1404 | 7709074949 | CAEDEL MEDICAL GROUP |
| 1601 Watson Blvd, Warner Robbins, GA 31093-3452 | 4789224281 | HOUSTON HOSPITALS INC |
| 233 N Houston Rd, Warner Robins, GA 31093-3023 | HOUSTON HOSPITALS INC |
| Organization Legal Name | CAEDEL MEDICAL GROUP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Itauma Udosen | Family Medicine | Caedel Medical Group | 101 Devant St, Suite 803, Fayetteville, GA 30214-2716 |
| Lulu Sherrie Mitchell | Physician Assistant | Caedel Medical Group | 1324 Hwy 138, Riverdale, GA 30296-1404 |
| Claire K Willie | Internal Medicine | Caedel Medical Group | 101 Devant St, Suite 803, Fayetteville, GA 30214-2716 |
| Street Address |
1324 HWY 138 |
| City | RIVERDALE |
| State | GA |
| Zip | 30296-1404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lulu Sherrie Mitchell | Physician Assistant | Caedel Medical Group | 1324 Hwy 138, Riverdale, GA 30296-1404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Qiana Johnson | Nurse Practitioner | 1240 Hwy 138 Sw, Riverdale, GA 30296-1402 | |
| James E Gleason Jr. | Family Medicine | 7365 Old National Hwy, Riverdale, GA 30296-1607 | |
| Ganiyu A Bello | Physical Therapy | 808 Commerce Blvd, C2, Riverdale, GA 30296-7192 | |
| Sadaqa T Ward | Clinical Social Worker | Drawanert Associates | 808 Commerce Blvd, Riverdale, GA 30296-7192 |
| City | RIVERDALE |
| Zip Code | 30296 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RIVERDALE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on James Oliviere Jr..
| 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.