Kent Douglass Ford (NPI# 1194797811, PAC ID# 1658385406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1194797811 |
PAC ID by PECOS | 1658385406 |
Professional Enrollment ID | I20060131000764 |
Full Name | Kent Douglass Ford |
Organization Legal Name | COMMUNITY HEALTH CARE SYSTEMS, INC. |
Address |
616 Ferncrest Dr Sandersville GA 31082-1863 |
Phone Number | 4788643448204 |
Gender | M |
Credential | DO |
Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
Graduation Year | 1980 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 5890783179 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110086 | WASHINGTON COUNTY REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
616 Ferncrest Dr, Sandersville, GA 31082-1863 | 4788643448204 | COMMUNITY HEALTH CARE SYSTEMS, INC. |
2251 W Elm St, Wrightsville, GA 31096-2017 | 4788642600 | COMMUNITY HEALTH CARE SYSTEMS, INC. |
Organization Legal Name | COMMUNITY HEALTH CARE SYSTEMS, INC. |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lynn Denny | Family Medicine | Community Health Care Systems, Inc. | 102 A Airport Rd Ne, Milledgeville, GA 31061-9313 |
Alesha Edwards | Podiatry | Community Health Care Systems, Inc. | 616 Ferncrest Dr, Sandersville, GA 31082-1863 |
Keisha Renee Callins | Obstetrics/gynecology | Community Health Care Systems, Inc. | 4292 Gray Hwy, Gray, GA 31032-5900 |
Charles E Jackson Jr. | General Practice | Community Health Care Systems, Inc. | 107 Fairview Park Dr, Dublin, GA 31021-2501 |
Bridgett C Bailey | Family Medicine | Community Health Care Systems, Inc. | 557 A Broad St Nw, Crawfordville, GA 30631-2918 |
Oscar H Salvat | Internal Medicine | Community Health Care Systems, Inc. | 2251 W Elm St, Wrightsville, GA 31096-2017 |
Israel D Bryson | Family Medicine | Community Health Care Systems, Inc. | 623 N Main St, Wrens, GA 30833-1178 |
Brian D Siddall | General Practice | Community Health Care Systems, Inc. | 2251 W Elm St, Wrightsville, GA 31096-2017 |
Paula Fields | Clinical Social Worker | Community Health Care Systems, Inc. | 2251 W Elm St, Wrightsville, GA 31096-2017 |
Cherilyn Smith Zellner | Family Medicine | Community Health Care Systems, Inc. | 616 Ferncrest Dr, Sandersville, GA 31082-1863 |
Street Address |
616 FERNCREST DR |
City | SANDERSVILLE |
State | GA |
Zip | 31082-1863 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alesha Edwards | Podiatry | Community Health Care Systems, Inc. | 616 Ferncrest Dr, Sandersville, GA 31082-1863 |
Cherilyn Smith Zellner | Family Medicine | Community Health Care Systems, Inc. | 616 Ferncrest Dr, Sandersville, GA 31082-1863 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kreslyn B Odum | Optometry | 510 Washington Ave, Sandersville, GA 31082-0000 | |
Robert D Cook | Chiropractic | 524 Sparta Rd, Suite 1, Sandersville, GA 31082-1374 | |
Kandace Allen Markham | Physician Assistant | Washington County Internal Medicine, P.C. | 501 Sparta Rd, Suite F, Sandersville, GA 31082-1392 |
Wentzelle K Kitchens | Internal Medicine | Washington County Internal Medicine, P.C. | 501 Sparta Rd, Suite F, Sandersville, GA 31082-1392 |
Erin Ashley Wilkes | Nurse Practitioner | Washington County Internal Medicine, P.C. | 501 Sparta Rd, Suite F, Sandersville, GA 31082-1392 |
Layne Kitchens | Nurse Practitioner | Washington County Internal Medicine, P.C. | 501 Sparta Rd, Suite F, Sandersville, GA 31082-1392 |
William Rawlings Jr. | Internal Medicine | Washington County Internal Medicine, P.C. | 501 Sparta Rd, Suite F, Sandersville, GA 31082-1392 |
Linus Onyemaechi Ejim | Internal Medicine | 516 Sparta Rd, Sandersville, GA 31082-1859 | |
Thomas Christopher Smith | Family Medicine | Washington County Regional Medical Center | 610 Sparta Rd, Sandersville, GA 31082-1860 |
Janice D Stahl | Certified Registered Nurse Anesthetist (crna) | Sentry Anesthesia Management, LLC | 610 Sparta Rd, Sandersville, GA 31082-1860 |
Find all physicians in zip 31082 |
City | SANDERSVILLE |
Zip Code | 31082 |
Specialty | FAMILY MEDICINE |
City + Specialty | SANDERSVILLE + FAMILY MEDICINE |
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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.