Southwest Georgia Healthcare Clinics, Inc.
A Medicare group practice based in Donalsonville, GA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9739457896), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9739457896
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 4
- Group size
- 6 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170613002024 | GA | Part B Supplier - Clinic/Group Practice | 1881867000 |
| O20190131003388 | GA | Part A Provider - Federally Qualified Health Center (FQHC) | 1881867000 |
| O20230417003002 | GA | Part A Provider - Federally Qualified Health Center (FQHC) | 1649918152 |
| O20230302000564 | GA | Part A Provider - Federally Qualified Health Center (FQHC) | 1396484606 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Southwest Georgia Healthcare Clinics Inc
- Federally Qualified Health Center (FQHC)
- Donalsonville, GA
- NPI 1396484606
-
Southwest Georgia Healthcare Clinics Inc
dba Southwest Georgia Healthcare Clinic
- Federally Qualified Health Center (FQHC)
- Donalsonville, GA
- NPI 1649918152
-
Southwest Georgia Healthcare Clinics Inc
- Federally Qualified Health Center (FQHC)
- Donalsonville, GA
- NPI 1881867000
-
Southwest Georgia Healthcare Clinics, Inc
- Federally Qualified Health Center (FQHC)
- Donalsonville, GA
- NPI 1962467217
Practice locations
- Donalsonville, GA6
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (6).
-
Homer Elmer Breckenridge III, MD
- Surgery Physician
- Donalsonville, GA
- NPI 1649371790
-
Gregory L Hall, MD
- Family Medicine Physician
- Donalsonville, GA
- NPI 1295815215
-
Sarah Walker Hampton, MD
- Internal Medicine Physician
- Donalsonville, GA
- NPI 1609872217
-
Jacob Harvey Holley III, M.D.
- General Practice Physician
- Donalsonville, GA
- NPI 1962842013
-
Hilary Jean Killingsworth, FNP-C
- Family Nurse Practitioner
- Montgomery, AL
- NPI 1841035516
-
Dion Nicole Martin, M.D.
- Pediatrics Physician
- Donalsonville, GA
- NPI 1255505913
-
Tekoa Meshawn Rogers, FNP
- Family Nurse Practitioner
- Donalsonville, GA
- NPI 1588252647
-
Joseph Lynn Walker, MD
- Surgery Physician
- Donalsonville, GA
- NPI 1396866943
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.