Hospice Satilla of Memorial Hospital Inc
A Medicare group practice based in Waycross, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7416975677), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7416975677
- Provider type
- Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060918000490 | GA | Part A Provider - Hospice | 1609835123 |
| O20210817002401 | GA | Part B Supplier - Clinic/Group Practice | 1508434408 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Hospice Satilla of Memorial Hospital Inc
dba Satilla Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Waycross, GA
- NPI 1508434408
-
Hospice Satilla of Memorial Hospital Inc
- Community Based Hospice Care Agency
- Waycross, GA
- NPI 1609835123
Practice locations
- Waycross, GA4
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (2).
-
Brenda Gail Bryan, NP-C
- Family Nurse Practitioner
- Millwood, GA
- NPI 1750887675
-
Patricia Lynn Crews, AGNP-BC
- Adult Health Nurse Practitioner
- Saint Louis, MO
- NPI 1912463308
-
Thomas W Davis, M.D.
- Family Medicine Physician
- Blackshear, GA
- NPI 1144243064
-
Meridith Farrow, M.D.
- Obstetrics & Gynecology Physician
- Covington, GA
- NPI 1811963440
-
Utrena Donsha Grant
- Family Nurse Practitioner
- Waycross, GA
- NPI 1548760622
-
Emilie Ann King, FNP-C
- Family Nurse Practitioner
- Waycross, GA
- NPI 1700410644
-
Robert Paul Kulchinsky, M.D.
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1982683595
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.