Toombs County Board of Health
A Medicare group practice based in Lyons, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4183612732), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4183612732
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
- Enrolled in
- GA
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040504000055 | GA | Part B Supplier - Clinic/Group Practice | 1831112879 |
| O20111004000598 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1558390757 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Toombs County Board of Health
- Public Health or Welfare Agency
- Lyons, GA
- NPI 1558390757
-
Toombs County Wellness Center
- Public Health or Welfare Agency
- Lyons, GA
- NPI 1831112879
Practice locations
- Lyons, GA2
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (3).
-
Mary Virginia Brady
- Family Nurse Practitioner
- Statesboro, GA
- NPI 1417385295
-
Susan W Bryant, NP
- Nurse Practitioner
- Douglas, GA
- NPI 1962433755
-
Winona D Bunch, FNP
- Nurse Practitioner
- Waycross, GA
- NPI 1336806637
-
Jeffery Joe Dockery, M.D.
- Family Medicine Physician
- Douglas, GA
- NPI 1831182674
-
Maria Esmeralda Gomez, RN, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Douglas, GA
- NPI 1144849290
-
Hazel E Mead, NP
- Nurse Practitioner
- Lyons, GA
- NPI 1881625457
-
Regina Ann Stone, FNP-C
- Family Nurse Practitioner
- Douglas, GA
- NPI 1154862894
-
Gina Winnette, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Statesboro, GA
- NPI 1417274358
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.