Premise Health of Georgia Medical PC
A Medicare group practice based in Baldwin, GA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 3274599345), with 13 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3274599345
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20041209000829 | GA | Part B Supplier - Clinic/Group Practice | 1407910169 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Premise Health of Georgia Medical, P.C.
dba Employees' Family Medical Center
- Family Medicine Physician
- Savannah, GA
- NPI 1407910169
-
Premise Health of Georgia Medical PC
dba Fieldale Farms Family Medical Center
- Primary Care Clinic/Center
- Gainesville, GA
- NPI 1306196027
-
Premise Health of Georgia Medical PC
dba Premise Health Wellness Center
- Multi-Specialty Clinic/Center
- Smyrna, GA
- NPI 1326789082
-
Premise Health of Georgia Medical PC
dba Southwire Family Medical Center
- Family Medicine Physician
- Carrollton, GA
- NPI 1437213709
-
Premise Health of Georgia Medical PC
dba Premise Health Wellness Center
- Multi-Specialty Clinic/Center
- Tyrone, GA
- NPI 1932840683
-
Premise Health of Georgia Medical PC
dba Fieldale Farms Family Medical Center
- Family Medicine Physician
- Baldwin, GA
- NPI 1952465056
Practice locations
- Carrollton, GA1
- Tyrone, GA1
- Smyrna, GA1
- Gainesville, GA1
- Baldwin, GA1
Clinicians 13
Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (3).
-
Divina N Dyer, MD
- Family Medicine Physician
- Carrollton, GA
- NPI 1285835769
-
Kenneth M Eugene, MD
- Family Medicine Physician
- Rincon, GA
- NPI 1801950530
-
Martha Krickel Gibbs, NP
- Family Nurse Practitioner
- Carrollton, GA
- NPI 1548274582
-
Terry Wayne Hansen, M.D.
- Specialist
- Social Circle, GA
- NPI 1013906387
-
Thomas Gregory Heath, NP
- Family Nurse Practitioner
- Carrollton, GA
- NPI 1144335167
-
Orlin Marquez, APRN, FNP-BC
- Family Nurse Practitioner
- Duluth, GA
- NPI 1659771434
-
Michael Anthony Poss, MD
- Family Medicine Physician
- Carrollton, GA
- NPI 1003834557
-
Amanda Sahai, MD
- Family Medicine Physician
- Norcross, GA
- NPI 1528196284
-
Madison Lester Stinson, DNP
- Family Nurse Practitioner
- Carrollton, GA
- NPI 1265276679
-
Bre'Andria Kamille Thompson, PA-C
- Physician Assistant
- Carrollton, GA
- NPI 1972112100
-
Alana M Williams, MD
- Family Medicine Physician
- Atlanta, GA
- NPI 1578519161
-
Daniel A Williams, M.D.
- Family Medicine Physician
- Carrollton, GA
- NPI 1669536835
-
Lawrence F Zottoli, MD
- Family Medicine Physician
- Pooler, GA
- NPI 1184788812
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.