Larry N Elam (NPI# 1306844170, PAC ID# 2163495961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
Nation Provider ID (NPI) | 1306844170 |
PAC ID by PECOS | 2163495961 |
Professional Enrollment ID | I20040819000122 |
Full Name | Larry N Elam |
Organization Legal Name | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
Address |
10055 Ford Ave Richmond Hill GA 31324-3974 |
Phone Number | 9125275352 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | PEDIATRIC MEDICINE |
Group Practice PAC ID | 4284951542 |
Number of Group Practice Members | 215 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
10055 Ford Ave, Richmond Hill, GA 31324-3974 | 9125275352 | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
Organization Legal Name | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
Physicians | 225 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary Deason Perritt | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1218 Alice St, Waycross, GA 31501-4525 |
Angela Duke | Nurse Practitioner | Privia Medical Group of Georgia LLC | 106 Pilgrim Village Dr, Suite 400, Cumming, GA 30040-9242 |
Daniel John Callahan | Physician Assistant | Privia Medical Group of Georgia LLC | 100 Genevieve Ct, Suite A, Peachtree City, GA 30269-4868 |
Holly M Loesch | Obstetrics/gynecology | Privia Medical Group of Georgia LLC | 440 Washington St Se, Gainesville, GA 30501-3619 |
Lyudmila P Carter | Internal Medicine | Privia Medical Group of Georgia LLC | 109 W Oglethorpe Hwy, Hinesville, GA 31313-3657 |
Michaela Seward Jones | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1010 E Fwy Dr Se, Conyers, GA 30094-5965 |
Erin Wells Raser | Physician Assistant | Privia Medical Group of Georgia LLC | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 |
Morgan Charlotte Jackson | Nurse Practitioner | Privia Medical Group of Georgia LLC | 119 W Hill St, Thomasville, GA 31792-6618 |
Ashley Paige Keen | Nurse Practitioner | Privia Medical Group of Georgia LLC | 2402 Osler Ct, Albany, GA 31707-0205 |
Jeanette Dormio | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1655 Lebanon Rd, Suite A, Lawrenceville, GA 30043-5116 |
Street Address |
10055 FORD AVE |
City | RICHMOND HILL |
State | GA |
Zip | 31324-3974 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wilfredo Negron | Obstetrics/gynecology | St. Joseph's/candler Ob/gyn Practice LLC | 10055 Ford Ave, Suite 3a, Richmond Hill, GA 31324-3972 |
Frederick Harold | Family Medicine | Sjc Medical Group, Inc | 10055 Ford Ave, Suite 3a, Richmond Hill, GA 31324-3972 |
Keith M Seibert | Pediatric Medicine | Southcoast Medical Group LLC | 10055 Ford Ave, 4a, Richmond Hill, GA 31324-3974 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly Kaye Brandenburg | Optometry | Low Country Eye Associates, PC | Hwy 144 Ford Plaza, Suite J, Richmond Hill, GA 31324 |
Adam W Harris Sr. | Psychiatry | 2479 Hwy 17 S, Suite B, Richmond Hill, GA 31324 | |
Rinku Patel | Optometry | Low Country Eye Associates, PC | Hwy 144 Ford Plaza, Suite J, Richmond Hill, GA 31324 |
Codi Jones | Nurse Practitioner | Savannah Primary Care Associates LLC | 3780 Us Hwy 17, Richmond Hill, GA 31324-3378 |
Rana E Hildebrandt | Nurse Practitioner | Savannah Multispecialty Associates LLC | 3780 Us Hwy 17, Richmond Hill, GA 31324-3378 |
Thomas C. Garner | Internal Medicine | Savannah Primary Care Associates LLC | 3780 Us Hwy 17, Richmond Hill, GA 31324-3378 |
Billy D Preuninger | Obstetrics/gynecology | Savannah Multispecialty Associates LLC | 3780 Us Hwy 17, Richmond Hill, GA 31324-3378 |
Ashleigh S Russell | Nurse Practitioner | Minute Clinic LLC | 2324 Us Hwy 17, Richmond, GA 31324-3398 |
Woodrow T Kelly | Chiropractic | Kelly Chiropractic PC | 9390 Ford Ave, Suite 2, Richmond Hill, GA 31324-3637 |
William R Marshall Iii | Nurse Practitioner | Sidney P Smith Md PC | 9665 Ford Ave, Richmond Hill, GA 31324-3652 |
Find all physicians in zip 31324 |
City | RICHMOND HILL |
Zip Code | 31324 |
Specialty | PEDIATRIC MEDICINE |
City + Specialty | RICHMOND HILL + PEDIATRIC 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.