Stephanie Cothern (NPI# 1871036319, PAC ID# 3173806668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1871036319 |
| PAC ID by PECOS | 3173806668 |
| Professional Enrollment ID | I20170627002749 |
| Full Name | Stephanie Cothern |
| Organization Legal Name | EAST GEORGIA HEALTHCARE CENTER, INC. |
| Address |
118 Alice Coleman Dr Vidalia GA 30474-8860 |
| Phone Number | 9125376565 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547228686 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 118 Alice Coleman Dr, Vidalia, GA 30474-8860 | 9125376565 | EAST GEORGIA HEALTHCARE CENTER, INC. |
| Organization Legal Name | EAST GEORGIA HEALTHCARE CENTER, INC. |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis Franklin Dixon | Nurse Practitioner | East Georgia Healthcare Center, Inc. | 118 E Broad St, Mount Vernon, GA 30445-3018 |
| Billie S Stout | Nurse Practitioner | East Georgia Healthcare Center, Inc. | 1075 E Winthrope Ave, Millen, GA 30442-6766 |
| Jeusalyn Chandler | Family Medicine | East Georgia Healthcare Center, Inc. | 1570 Brampton Ave, Statesboro, GA 30458-0855 |
| John Farrior | Physician Assistant | East Georgia Healthcare Center, Inc. | 117 Memorial Dr, Reidsville, GA 30453-4641 |
| Floyd A Soriano | General Practice | East Georgia Healthcare Center, Inc. | 34 Nw Broad St, Metter, GA 30439-4025 |
| Gerald B Holsonback | Chiropractic | East Georgia Healthcare Center, Inc. | 215 N Coleman St, Swainsboro, GA 30401-3530 |
| Kathryn E Smith | Nurse Practitioner | East Georgia Healthcare Center, Inc. | 215 N Coleman St, Swainsboro, GA 30401-3530 |
| Sebrina M Watkins | Physician Assistant | East Georgia Healthcare Center, Inc. | 117 Memorial Dr, Reidsville, GA 30453-4641 |
| Kyle Cannady | Nurse Practitioner | East Georgia Healthcare Center, Inc. | 215 N Coleman St, Swainsboro, GA 30401-3530 |
| Mark A Haddock | Chiropractic | East Georgia Healthcare Center, Inc. | 215 N Coleman St, Swainsboro, GA 30401-3530 |
| Street Address |
118 ALICE COLEMAN DR |
| City | VIDALIA |
| State | GA |
| Zip | 30474-8860 |
| 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 | NURSE PRACTITIONER |
| City + Specialty | VIDALIA + NURSE PRACTITIONER |
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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.