Michelle Lynn Pendleton (NPI# 1134596802, PAC ID# 9638487333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134596802 |
| PAC ID by PECOS | 9638487333 |
| Professional Enrollment ID | I20181011001965 |
| Full Name | Michelle Lynn Pendleton |
| Organization Legal Name | BAPTIST PRIMARY CARE INC |
| Address |
2060 Dan Proctor Dr Suite 3100 Saint Marys GA 31558-4324 |
| Phone Number | 9128823737 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648177733 |
| Number of Group Practice Members | 308 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110146 | SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS |
| 100140 | BAPTIST MEDICAL CENTER NASSAU |
| Address | Phone | Organization |
|---|---|---|
| 2060 Dan Proctor Dr, Suite 3100, Saint Marys, GA 31558-4324 | 9128823737 | BAPTIST PRIMARY CARE INC |
| Organization Legal Name | BAPTIST PRIMARY CARE INC |
| Physicians | 322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Gardner Rich | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
| Muhammad A Ghazi | Family Medicine | Baptist Primary Care Inc | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 |
| Jami D Feltner | Internal Medicine | Baptist Primary Care Inc | 2014 University Blvd W, Jacksonville, FL 32217-2016 |
| Hiro Rahbar | Family Medicine | Baptist Primary Care Inc | 98 Nocatee Village Dr, Ponta Vedra, FL 32801 |
| Heather S Applewhite | Family Medicine | Baptist Primary Care Inc | 11236 Baptist Health Dr, Suite 220, Jacksonville, FL 32218-2988 |
| Kristie Driver | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
| Sandrela Mussallam Abu Shaibeh | Hospitalist | Baptist Primary Care Inc | 820 Prudential Dr, Suite 304, Jacksonville, FL 32207-8207 |
| Marla R Capes | Nurse Practitioner | Baptist Primary Care Inc | 559 W Twincourt Trl, Suite 601, St Augustine, FL 32095-8805 |
| Andrew T Pinder | Family Medicine | Baptist Primary Care Inc | 8355 Merchants Gate Dr, Jacksonville, FL 32222-5848 |
| Stacy Quinn | Family Medicine | Baptist Primary Care Inc | 769 Blanding Blvd, Suite 7, Orange Park, FL 32065-8700 |
| Street Address |
2060 DAN PROCTOR DR SUITE 3100 |
| City | SAINT MARYS |
| State | GA |
| Zip | 31558-4324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Andrew Egly | Obstetrics/gynecology | Cooperative Healthcare Services, Inc. | 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 |
| Kyle A Rezac | Family Medicine | Baptist Primary Care Inc | 2060 Dan Proctor Dr, Suite 3100, Saint Marys, GA 31558-4324 |
| Stephanie Nicole Green | Nurse Practitioner | Cooperative Healthcare Services, Inc. | 2060 Dan Proctor Dr, Suite 2100, Saint Marys, GA 31558-3895 |
| Obaidullah Ahmed | Family Medicine | Baptist Primary Care Inc | 2060 Dan Proctor Dr, Suite 3100, Saint Marys, GA 31558-4324 |
| Edward O Reece | Obstetrics/gynecology | Cooperative Healthcare Services, Inc. | 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 |
| Michael C Yonz | Orthopedic Surgery | Cooperative Healthcare Services, Inc. | 2060 Dan Proctor Dr, Suite 1400, Saint Marys, GA 31558-3895 |
| Lindsey E Sweat | Family Medicine | Cooperative Healthcare Services, Inc. | 2060 Dan Proctor Dr, Suite 2100, Saint Marys, GA 31558-3895 |
| Michelle Y Perry | Obstetrics/gynecology | 2060 Dan Proctor Dr, Suite 1800, Saint Marys, GA 31558-4324 | |
| Melissa A White | Nurse Practitioner | Baptist Primary Care Inc | 2060 Dan Proctor Dr, Saint Marys, GA 31558-4324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Michelle Gomez | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Scott Thomas Miles | Addiction Medicine | 5155 Ga Hwy 40 E, St Marys, GA 31558 | |
| Angela D Johnson | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Paulette Kropf | Pediatric Medicine | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Angelito B Lacanilao | Family Medicine | 340 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3101 | |
| James Shields | Anesthesiology | Physicians Group Services Pa | 309 Arnow Dr, Saint Marys, GA 31558-3176 |
| Roberta Lindau | Clinical Social Worker | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Norman A Lemieux | Clinical Social Worker | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Ellinor Burke | Psychologist, Clinical | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Joshua B Woodin | Physician Assistant | Urgent Care of Coastal Georgia | 214 Professional Cir, Suite A, Saint Marys, GA 31558-3783 |
| Find all physicians in zip 31558 | |||
| City | SAINT MARYS |
| Zip Code | 31558 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT MARYS + NURSE PRACTITIONER |
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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.