Chasity C Brock (NPI# 1407291925, PAC ID# 6901045269) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407291925 |
| PAC ID by PECOS | 6901045269 |
| Professional Enrollment ID | I20130617000486 |
| Full Name | Chasity C Brock |
| Organization Legal Name | TMC HARALSON FAMILY HEALTHCARE CENTER |
| Address |
204 Allen Memorial Dr Suite 201 Bremen GA 30110-2062 |
| Phone Number | 7705376500 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729997846 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111320 | HIGGINS GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 204 Allen Memorial Dr, Suite 201, Bremen, GA 30110-2062 | 7705376500 | TMC HARALSON FAMILY HEALTHCARE CENTER |
| Organization Legal Name | TMC HARALSON FAMILY HEALTHCARE CENTER |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Smith Pope | Nurse Practitioner | Tmc Haralson Family Healthcare Center | 204 Allen Memorial Dr, Suite 201, Bremen, GA 30110-2062 |
| William E Parrish | Family Medicine | Tmc Haralson Family Healthcare Center | 204 Allen Memorial Dr, Suite 201, Bremen, GA 30110-2062 |
| Amy Jordan Eubanks | Internal Medicine | Tmc Haralson Family Healthcare Center | 204 Allen Memorial Dr, Suite 201, Bremen, GA 30110-2062 |
| Erika Smith | Physician Assistant | Tmc Haralson Family Healthcare Center | 204 Allen Memorial Dr, Bremen, GA 30110-2062 |
| Street Address |
204 ALLEN MEMORIAL DR SUITE 201 |
| City | BREMEN |
| State | GA |
| Zip | 30110-2062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Griffin | General Surgery | Tanner Medical Group Inc | 204 Allen Memorial Dr, Suite 101, Bremen, GA 30110-2063 |
| Lori Smith Pope | Nurse Practitioner | Tmc Haralson Family Healthcare Center | 204 Allen Memorial Dr, Suite 201, Bremen, GA 30110-2062 |
| Thelma Elaine Wiley Lucas | Gastroenterology | West Georgia Gastroenterology Associates,pc | 204 Allen Memorial Dr, 302b, Bremen, GA 30110-2047 |
| William E Parrish | Family Medicine | Tmc Haralson Family Healthcare Center | 204 Allen Memorial Dr, Suite 201, Bremen, GA 30110-2062 |
| Susan R Prescott | Nurse Practitioner | West Georgia Gastroenterology Associates,pc | 204 Allen Memorial Dr, 302b, Bremen, GA 30110-2047 |
| Brian E Barden | General Surgery | Tanner Medical Group Inc | 204 Allen Memorial Dr, Suite 101, Bremen, GA 30110-2063 |
| Howard Seeman | Gastroenterology | West Georgia Gastroenterology Associates,pc | 204 Allen Memorial Dr, 302b, Bremen, GA 30110-2047 |
| Prashant Sharma | Gastroenterology | West Georgia Gastroenterology Associates,pc | 204 Allen Memorial Dr, 302b, Bremen, GA 30110-2047 |
| Barry F Harris | General Surgery | Tanner Medical Group Inc | 204 Allen Memorial Dr, Suite 101, Bremen, GA 30110-2063 |
| Amy Jordan Eubanks | Internal Medicine | Tmc Haralson Family Healthcare Center | 204 Allen Memorial Dr, Suite 201, Bremen, GA 30110-2062 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison L Key | Family Medicine | 222 Gordon St, Bremen, GA 30110-1519 | |
| Steve Odeh | General Practice | 509 Alabama S Ave, Bremen, GA 30110-2007 | |
| Ralph J Templeton | Chiropractic | 507 Alabama Ave, Bremen, GA 30110-2007 | |
| Janice May Wilder | Nurse Practitioner | Bremen Family Health and Wellness | 509 Alabama S Ave, Bremen, GA 30110-2007 |
| Samuel L Ogden | Internal Medicine | 109 B Allen Memorial Dr, Bremen, GA 30110-2009 | |
| In Sook Kim | General Practice | Haralson Medical Clinic PC | 201 Allen Memorial Dr, Bremen, GA 30110-2011 |
| Pyung Kim | General Surgery | Haralson Medical Clinic PC | 201 Allen Memorial Dr, Bremen, GA 30110-2011 |
| Odessa K Spraggins | Anesthesiology | Tmc-west Georgia Anesthesia Associates Inc. | 200 Allen Memorial Dr, Bremen, GA 30110-2012 |
| Gaston G Foderingham | Emergency Medicine | Independence Emergency Physicians LLC | 200 Allen Memorial Dr, Bremen, GA 30110-2012 |
| Michael G Hamner | Anesthesiology | Tmc-west Georgia Anesthesia Associates Inc. | 200 Allen Memorial Dr, Bremen, GA 30110-2012 |
| Find all physicians in zip 30110 | |||
| City | BREMEN |
| Zip Code | 30110 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BREMEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Chasity C Brock.
| 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.