Kristopher Palmer (NPI# 1831323393, PAC ID# 2769652817) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1831323393 |
| PAC ID by PECOS | 2769652817 |
| Professional Enrollment ID | I20160715001566 |
| Full Name | Kristopher Palmer |
| Organization Legal Name | SOUTHLAND BAINBRIDGE HOSPITALIST GROUP LLC |
| Address |
1050 Valdosta Hwy Homerville GA 31634-9701 |
| Phone Number | 9124875211 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7214248335 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110038 | JOHN D ARCHBOLD MEMORIAL HOSPITAL |
| 111308 | CLINCH MEMORIAL HOSPITAL |
| 110132 | MEMORIAL HOSPITAL AND MANOR |
| Address | Phone | Organization |
|---|---|---|
| 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2292360831 | SOUTHLAND BAINBRIDGE HOSPITALIST GROUP LLC |
| 90 E Stephens St, Camilla, GA 31730-1836 | 2293365284 | SOUTHLAND BAINBRIDGE HOSPITALIST GROUP LLC |
| 1050 Valdosta Hwy, Homerville, GA 31634-9701 | 9124875211 | SOUTHLAND BAINBRIDGE HOSPITALIST GROUP LLC |
| 915 Gordon Ave, Thomasville, GA 31792-6614 | 2292282000 | SOUTHLAND HOSPITALIST GROUP, LLC |
| Organization Legal Name | SOUTHLAND BAINBRIDGE HOSPITALIST GROUP LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Woods | Nurse Practitioner | Southland Bainbridge Hospitalist Group LLC | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| Muhammad A Khan | Internal Medicine | Southland Bainbridge Hospitalist Group LLC | 90 E Stephens St, Camilla, GA 31730-1836 |
| Prashant Baliga | Internal Medicine | Southland Bainbridge Hospitalist Group LLC | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| Moneer A Sohail | Internal Medicine | Southland Bainbridge Hospitalist Group LLC | 116 W Thigpen Ave, Lakeland, GA 31635-1011 |
| Sidney Joseph Morgan | Emergency Medicine | Southland Bainbridge Hospitalist Group LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Mark A Gay | Emergency Medicine | Southland Bainbridge Hospitalist Group LLC | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| Dawn C Howell | Physician Assistant | Southland Bainbridge Hospitalist Group LLC | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| Mark A Lewis | Emergency Medicine | Southland Bainbridge Hospitalist Group LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Daniel J Green | Family Practice | Southland Bainbridge Hospitalist Group LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Vijia P George | Family Practice | Southland Bainbridge Hospitalist Group LLC | 462 E G Miles Pkwy, Hinesville, GA 31313-4000 |
| Street Address |
1050 VALDOSTA HWY |
| City | HOMERVILLE |
| State | GA |
| Zip | 31634-9701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose Arjona | Diagnostic Radiology | Clinch County Hospital Authority | 1050 Valdosta Hwy, Homerville, GA 31634-0516 |
| Laura S Taylor | Diagnostic Radiology | Clinch County Hospital Authority | 1050 Valdosta Hwy, Homerville, GA 31634-0516 |
| Jesse Mckinnon | Nurse Practitioner | Clinch County Hospital Authority | 1050 Valdosta Hwy, Homerville, GA 31634-0516 |
| Charles Semones | Emergency Medicine | Clinch County Hospital Authority | 1050 Valdosta Hwy, Homerville, GA 31634-0516 |
| Eugene S Pretorius | Diagnostic Radiology | Clinch County Hospital Authority | 1050 Valdosta Hwy, Homerville, GA 31634-0516 |
| Igor Ancor | Internal Medicine | Clinch County Hospital Authority | 1050 Valdosta Hwy, Homerville, GA 31634-0516 |
| Francis A Ferraro | Diagnostic Radiology | Clinch County Hospital Authority | 1050 Valdosta Hwy, Homerville, GA 31634-0516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betsy D Clifton | Nurse Practitioner | Samuel B Cobarrubias Md, PC | 180 Carswell St, Homerville, GA 31634-2413 |
| Samuel B Cobarrubias | Internal Medicine | Samuel B Cobarrubias Md, PC | 180 Carswell St, Homerville, GA 31634-2413 |
| Shannon D Smith | Chiropractic | 235 N Church St, Homerville, GA 31634-2451 | |
| Nancy E Strickland | Physician Assistant | South Georgia Medical Services | 380 N Church St, Homerville, GA 31634-2452 |
| City | HOMERVILLE |
| Zip Code | 31634 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HOMERVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kristopher Palmer.
| 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.