Ware County Board of Health
A Medicare group practice based in Waycross, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5395736193), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5395736193
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
- Enrolled in
- GA
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230224001760 | GA | Part B Supplier - Clinic/Group Practice | 1568491785 |
| O20130530000112 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1134158355 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Ware County Board of Health
- Public Health or Welfare Agency
- Waycross, GA
- NPI 1134158355
-
Ware County Board of Health
- Public Health or Welfare Agency
- Waycross, GA
- NPI 1568491785
Practice locations
- Waycross, GA2
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (2).
-
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
-
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.