Sidney R Washington Iii (NPI# 1538122478, PAC ID# 0840284360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1538122478 |
| PAC ID by PECOS | 0840284360 |
| Professional Enrollment ID | I20140505000850 |
| Full Name | Sidney R Washington Iii |
| Organization Legal Name | FAMILY HEALTH CARE CENTER |
| Address |
23702 Hwy 80e Statesboro GA 30459-0957 |
| Phone Number | 9124894090 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1982 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 4082601299 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110075 | EAST GEORGIA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 N Main St, Suite 306, Jonesboro, GA 30236-3296 | 7705769732 | UNI-ONE MEDICAL CLINIC LLC |
| 300 N Main St, Jonesboro, GA 30236-3296 | 7705769732 | UNI-ONE MEDICAL CLINIC LLC |
| 23702 Hwy 80e, Statesboro, GA 30459-0957 | 9124894090 | FAMILY HEALTH CARE CENTER |
| Organization Legal Name | FAMILY HEALTH CARE CENTER |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla L Nelson | Nurse Practitioner | Family Health Care Center | 301 Np Ave N, Fargo, ND 58102-4835 |
| Thaddeus H Riley Jr. | Family Medicine | Family Health Care Center | 23702 Hwy 80e, Statesboro, GA 30459-0957 |
| Mary L Sprague | Nurse Practitioner | Family Health Care Center | 726 13th Ave E, West Fargo, ND 58078-3304 |
| Elizabeth Mehus-waller | Nurse Practitioner | Family Health Care Center | 301 Np Ave N, Fargo, ND 58102-4835 |
| Kelly A Polcher | Nurse Practitioner | Family Health Care Center | 301 Np Ave N, Fargo, ND 58102-4835 |
| Alicia Hauff | Nurse Practitioner | Family Health Care Center | 301 Np Ave N, Fargo, ND 58102-4835 |
| Pamela Leino-mills | Registered Dietitian Or Nutrition Professional | Family Health Care Center | 301 Np Ave N, Fargo, ND 58102-4835 |
| Nicole Mears | Nurse Practitioner | Family Health Care Center | 301 Np Ave N, Fargo, ND 58102-4835 |
| Anna Miller | Optometry | Family Health Care Center | 301 Np Ave N, Fargo, ND 58102-4835 |
| Susan Riley | Nurse Practitioner | Family Health Care Center | 23702 Hwy 80e, Statesboro, GA 30459-0957 |
| Street Address |
23702 HWY 80E |
| City | STATESBORO |
| State | GA |
| Zip | 30459-0957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thaddeus H Riley Jr. | Family Medicine | Family Health Care Center | 23702 Hwy 80e, Statesboro, GA 30459-0957 |
| Susan Riley | Nurse Practitioner | Family Health Care Center | 23702 Hwy 80e, Statesboro, GA 30459-0957 |
| Angela M Davis | Family Medicine | Family Health Care Center | 23702 Hwy 80e, Statesboro, GA 30459-0957 |
| Amy Jo Riggs | Registered Dietitian Or Nutrition Professional | Family Health Care Center | 23702 Hwy 80e, Statesboro, GA 30459-0957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Warren M Ward | Chiropractic | 104 Northside Dr W, Statesboro, GA 30459 |
| City | STATESBORO |
| Zip Code | 30459 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | STATESBORO + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Sidney R Washington Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.