Colleen Marie Kerrigan (NPI# 1679137038, PAC ID# 1355677279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1679137038 |
| PAC ID by PECOS | 1355677279 |
| Professional Enrollment ID | I20190730001189 |
| Full Name | Colleen Marie Kerrigan |
| Organization Legal Name | SOUTHEAST REGIONAL PRIMARY CARE CORPORATION |
| Address |
1 Meadows Pkwy Vidalia GA 30474-8759 |
| Phone Number | 9125358691 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8224028659 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 9125358691 | SOUTHEAST REGIONAL PRIMARY CARE CORPORATION |
| 303 Harris Industrial Blvd, Suite 5, Vidalia, GA 30474-8854 | 9125357000 | SOUTHEAST REGIONAL PRIMARY CARE CORPORATION |
| Organization Legal Name | SOUTHEAST REGIONAL PRIMARY CARE CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Joe Laubacker | Internal Medicine | Southeast Regional Primary Care Corporation | 621 E 1st St, Suite B, Vidalia, GA 30474-4264 |
| Street Address |
1 MEADOWS PKWY |
| City | VIDALIA |
| State | GA |
| Zip | 30474-8759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Evelyn Kemp | Nurse Practitioner | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Hunter Dennard Richman | Physician Assistant | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Brick S Acosta | Internal Medicine | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Henry D Cline | Radiation Oncology | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Sarah F Campbell | Anesthesiology | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Charles A Gordon | Internal Medicine | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Alejandro Garcia-hernandez | Hematology/oncology | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Jeffrey David Stevens | Diagnostic Radiology | South Georgia Radiology Associates LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Frank Gibase | Anesthesiology | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Stephen G Tiley | Hematology/oncology | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Casey Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Karen Pamela Mcneely | Nurse Practitioner | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| David H Paine | Internal Medicine | 1006 A Mt Vernon Rd, Vidalia, GA 30474 | |
| Walter J Revell Jr. | General Surgery | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Archie J Champion | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Letty Revell Peterson | Dermatology | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Charles M Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Richard M Proenza | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Paul J Giles | Cardiovascular Disease (cardiology) | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Robert Andrew Bell | Nurse Practitioner | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Find all physicians in zip 30474 | |||
| City | VIDALIA |
| Zip Code | 30474 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VIDALIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Colleen Marie Kerrigan.
| 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.