Timothy J Hardie (NPI# 1912499641, PAC ID# 2365792678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912499641 |
| PAC ID by PECOS | 2365792678 |
| Professional Enrollment ID | I20180907001202 |
| Full Name | Timothy J Hardie |
| Organization Legal Name | PHOEBE WORTH MEDICAL CENTER, INC |
| Address |
1014 W Franklin St Sylvester GA 31791-1978 |
| Phone Number | 2297774514 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0840104527 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111328 | PHOEBE WORTH MEDICAL CENTER |
| 110007 | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1014 W Franklin St, Sylvester, GA 31791-1978 | 2297774514 | PHOEBE WORTH MEDICAL CENTER, INC |
| Organization Legal Name | PHOEBE WORTH MEDICAL CENTER, INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda P Reed | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Edward K Bass Iii | Family Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Tamara E Sealy | Family Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| James E Black | Family Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Sucheta G Garg | Emergency Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Patricia Mason | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Johnathan E Gaskins | Emergency Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Jason B Boyd | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Daren K Wooten | Emergency Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Street Address |
1014 W FRANKLIN ST |
| City | SYLVESTER |
| State | GA |
| Zip | 31791-1978 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natu M Patel | Internal Medicine | 813 S Isabela St, Sylvester, GA 31791-0650 | |
| Myron T Mcdonald | Nurse Practitioner | Tift Regional Health System, Inc. | 1010 W Franklin St, Sylvester, GA 31791-1900 |
| Doris L Wilder | Family Medicine | Tift Regional Health System, Inc. | 1010 W Franklin St, Sylvester, GA 31791-1900 |
| Robert S Reid | Chiropractic | 304 N Westberry St, Sylvester, GA 31791-2125 | |
| Frank Turpin Iii | Optometry | 127 N Main St, Sylvester, GA 31791-2195 | |
| Savannah Jenkins | Physical Therapy | Southwest Georgia Therapy, Inc | 1009 W Franklin St, Sylvester, GA 31791-7174 |
| William Jenkins Jr. | Physical Therapy | Southwest Georgia Therapy, Inc | 1009 W Franklin St, Sylvester, GA 31791-7174 |
| Melinda P Reed | Nurse Practitioner | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Edward K Bass Iii | Family Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Tamara E Sealy | Family Medicine | Phoebe Worth Medical Center, Inc | 807 S Isabella St, Sylvester, GA 31791-7554 |
| Find all physicians in zip 31791 | |||
| City | SYLVESTER |
| Zip Code | 31791 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SYLVESTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Timothy J Hardie.
| 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.