Lori B Ponder (NPI# 1235110263, PAC ID# 0941239057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235110263 |
| PAC ID by PECOS | 0941239057 |
| Professional Enrollment ID | I20080716000117 |
| Full Name | Lori B Ponder |
| Organization Legal Name | NORTHWEST GEORGIA MEDICAL CLINIC, P.C. |
| Address |
15 Riverbend Dr Sw Rome GA 30161-6065 |
| Phone Number | 7062910884 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315839743 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110054 | FLOYD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 15 Riverbend Dr Sw, Rome, GA 30161-6065 | 7062910884 | NORTHWEST GEORGIA MEDICAL CLINIC, P.C. |
| Organization Legal Name | NORTHWEST GEORGIA MEDICAL CLINIC, P.C. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Keith Montgomery | Obstetrics/gynecology | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Suni H Carroll | Nurse Practitioner | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| James H Vick Iii | Obstetrics/gynecology | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Mary K Harbin | Nurse Practitioner | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Kristen Leezer | Obstetrics/gynecology | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Amanda M Reeves | Family Medicine | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Savannah S Scoggins | Certified Nurse Midwife (cnm) | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Dixon L Freeman | Obstetrics/gynecology | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Christopher J. Pickens | Obstetrics/gynecology | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Ashley A Holloway | Nurse Practitioner | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Street Address |
15 RIVERBEND DR SW |
| City | ROME |
| State | GA |
| Zip | 30161-6065 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Keith Montgomery | Obstetrics/gynecology | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Suni H Carroll | Nurse Practitioner | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| James H Vick Iii | Obstetrics/gynecology | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Mary K Harbin | Nurse Practitioner | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Kristen Leezer | Obstetrics/gynecology | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Amanda M Reeves | Family Medicine | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Savannah S Scoggins | Certified Nurse Midwife (cnm) | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Dixon L Freeman | Obstetrics/gynecology | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Christopher J. Pickens | Obstetrics/gynecology | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Ashley A Holloway | Nurse Practitioner | Northwest Georgia Medical Clinic, P.C. | 15 Riverbend Dr Sw, Rome, GA 30161-6065 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha Coleburn | Physician Assistant | Georgia Inpatient Medicine Associates LLC | 501 Redmond Rd, Rome, GA 30161-1415 |
| Carol E Charles | Nurse Practitioner | Georgia Inpatient Medicine Associates LLC | 501 Redmond Rd, Rome, GA 30161-1415 |
| Judith Tutin | Psychologist, Clinical | 519 Broad St, Suite 202, Rome, GA 30161-1736 | |
| Lauren L Hudson | Physician Assistant | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Joseph N Herren | Internal Medicine | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Maryann N Mugo | Endocrinology | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Dona F Childers | Nurse Practitioner | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Jamie O Lin | Internal Medicine | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| George P Hotz | Internal Medicine | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Staci Robin Graves | Physician Assistant | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Find all physicians in zip 30161 | |||
| City | ROME |
| Zip Code | 30161 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROME + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lori B Ponder.
| 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.