Casidy Enfinger (NPI# 1386892446, PAC ID# 1355492596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1386892446 |
| PAC ID by PECOS | 1355492596 |
| Professional Enrollment ID | I20090629000055 |
| Full Name | Casidy Enfinger |
| Organization Legal Name | PRIMARY CARE OF SOUTHWEST GEORGIA, INC. |
| Address |
360 College St Blakely GA 39823-2554 |
| Phone Number | 2297232660 |
| Gender | F |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496777948 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111314 | PIONEER COMMUNITY HOSPITAL OF EARLY |
| 110194 | DONALSONVILLE HOSPITAL INC |
| 010001 | SOUTHEAST ALABAMA MEDICAL CENTER |
| 111305 | MILLER COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 360 College St, Blakely, GA 39823-2554 | 2297232660 | PRIMARY CARE OF SOUTHWEST GEORGIA, INC. |
| Organization Legal Name | PRIMARY CARE OF SOUTHWEST GEORGIA, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittney L Tyus | Nurse Practitioner | Primary Care of Southwest Georgia, Inc. | 360 College St, Blakely, GA 39823-2554 |
| Street Address |
360 COLLEGE ST |
| City | BLAKELY |
| State | GA |
| Zip | 39823-2554 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly A Knighten | Clinical Social Worker | Primary Care of Southwest Georgia Inc | 360 College St, Blakely, GA 39823-2554 |
| Luis A Murrain | Family Medicine | Primary Care of Southwest Georgia Inc | 360 College St, Blakely, GA 39823-2554 |
| Dave O Stewart | Family Medicine | Primary Care of Southwest Georgia Inc | 360 College St, Blakely, GA 39823-2554 |
| Jennifer C Ross | Physician Assistant | Primary Care of Southwest Georgia Inc | 360 College St, Blakely, GA 39823-2554 |
| Andrea M Hargraves | Certified Nurse Midwife (cnm) | Primary Care of Southwest Georgia Inc | 360 College St, Blakely, GA 39823-2554 |
| Elizabeth Robin Sherrod | Certified Nurse Midwife | Primary Care of Southwest Georgia Inc | 360 College St, Blakely, GA 39823-2554 |
| Brittney L Tyus | Nurse Practitioner | Primary Care of Southwest Georgia, Inc. | 360 College St, Blakely, GA 39823-2554 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent B Barker | Family Medicine | Lifebrite Hospital Group of Early LLC | 11045 Columbia St, Blakely, GA 39823-3447 |
| Julie T Hornsby | Nurse Practitioner | Lifebrite Hospital Group of Early LLC | 11045 Columbia St, Blakely, GA 39823-3447 |
| Brandy S Floyd | Physician Assistant | Lifebrite Hospital Group of Early LLC | 11045 Columbia St, Blakely, GA 39823-3447 |
| David L Brand Jr. | Family Medicine | Lifebrite Hospital Group of Early LLC | 11045 Columbia St, Blakely, GA 39823-3447 |
| Elizabeth S Mansfield | Nurse Practitioner | Lifebrite Hospital Group of Early LLC | 11045 Columbia St, Blakely, GA 39823-3447 |
| City | BLAKELY |
| Zip Code | 39823 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLAKELY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Casidy Enfinger.
| 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.