Nes Georgia, Inc.
Organization Active NPI Emergency Medicine Physician · Hazlehurst, GA
NPI 1144201559 · NPPES record last updated Apr 29, 2013
Key facts
- NPI
- 1144201559
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- NES GEORGIA, INC.
- Practice address
- 163 S Tallahassee St
Hazlehurst, GA 31539-6465 - Phone
- (912) 375-7781
- Fax
- (912) 375-4055
- NPI assigned
- Nov 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Jennifer Moore
- Title
- Cfo
- Phone
- (415) 435-4591
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 66
-
Adam Ferrel Hoover, M.D.
-
Abebe D Kassahun, MD
-
Rhonda M. Moorman, M.D.
-
Michael R. Nulph, M.D.
-
Carol Scott, MD
-
Farhad Talebi, MD
-
David L Turfler, MD
-
Niraj Patel, MD
-
Ruth Adetoun Adene-Peter, M.D.
-
Brandon H. Anderson, M.D.
-
Olatunji Awe, M.D.
-
Ayodele A Ayedun, M.D.
-
Obayode Ayewa, M.D.
-
Kevin T Brown, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040729000602 | GA | Part B Supplier - Clinic/Group Practice | 0345210001 |
Receives reassigned benefits from 17 practitioners 1 other NPI on this enrollment Practice locations: Hazlehurst, GA; Waynesboro, GA |
National Provider Directory
- Tax ID family
- Nes Georgia Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
163 S Tallahassee St
Hazlehurst, GA 31539-6465
Mailing address
PO Box 277329
Atlanta, GA 30384-7329
Phone (800) 377-8721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300017172I | Medicaid | GA | |
| CC4853 | Other | RR MEDICARE |
Other providers in Hazlehurst, GA
- Mitch'S Pharmacy, LLC
- Brea Mitchell
- Samantha Moeller
- Munsayac Health LLC
- Kirk Alessandro Munsayac
- New Beginnings Therapy Services LLC
- Brandi Newman
- Taylor Newman
- Kwaku Oppong
- Optim Orthopedics, LLC
All providers in Hazlehurst, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.