George N Roll (NPI# 1184795346, PAC ID# 4789812470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1184795346 |
| PAC ID by PECOS | 4789812470 |
| Professional Enrollment ID | I20131231000915 |
| Full Name | George N Roll |
| Organization Legal Name | SEAGROVE BEACH MEDICAL CLINIC INC. |
| Address |
5399e County Hwy 30a 5 Santa Rosa Beach FL 32459-6718 |
| Phone Number | 8502316200 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7719114404 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
| Address | Phone | Organization |
|---|---|---|
| 5399e County Hwy 30a 5, Santa Rosa Beach, FL 32459-6718 | 8502316200 | SEAGROVE BEACH MEDICAL CLINIC INC. |
| Organization Legal Name | SEAGROVE BEACH MEDICAL CLINIC INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Lentz Jr. | Family Practice | Seagrove Beach Medical Clinic Inc. | 5399e County Hwy 30a 5, Santa Rosa Beach, FL 32459-6718 |
| Street Address |
5399E COUNTY HWY 30A 5 |
| City | SANTA ROSA BEACH |
| State | FL |
| Zip | 32459-6718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Lentz Jr. | Family Practice | Seagrove Beach Medical Clinic Inc. | 5399e County Hwy 30a 5, Santa Rosa Beach, FL 32459-6718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee R Mccormack | Nurse Practitioner | 201 N Blue Heron Dr, Santa Rosa Beach, FL 32459-0201 | |
| Christine Smiley | Family Medicine | Doc Smiley's Urgent Care LLC | 43 Cassine Way, Suite 102, Santa Rosa Beach, FL 32459-0456 |
| Justin T Smiley | Family Medicine | Doc Smiley's Urgent Care LLC | 43 Cassine Way, Suite 102, Santa Rosa Beach, FL 32459-0456 |
| James Benjamin Renfroe | Neurology | Child Neurology Center of Northwest Florida Pa | 23 Mack Bayou Loop, Suite 100, Santa Rosa Beach, FL 32459-2606 |
| Erin D Fowler | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 27 Mack Bayou Loop, Suite 1000, Santa Rosa Beach, FL 32459-2613 |
| Rebecca G Block | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 27 Mack Bayou Loop, Suite 1000, Santa Rosa Beach, FL 32459-2613 |
| Emilia M Banse | Nurse Practitioner | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Wendy M Depury | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Farid Chekaoui | Psychiatry | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Carmen Y Brezna | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Find all physicians in zip 32459 | |||
| City | SANTA ROSA BEACH |
| Zip Code | 32459 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SANTA ROSA BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on George N Roll.
| 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.