Susannah Goodman (NPI# 1598028060, PAC ID# 7012173677) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1598028060 |
| PAC ID by PECOS | 7012173677 |
| Professional Enrollment ID | I20120725000909 |
| Full Name | Susannah Goodman |
| Organization Legal Name | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| Address |
321 S 9th St Griffin GA 30224-4111 |
| Phone Number | 4782542644 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012183650 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 321 S 9th St, Griffin, GA 30224-4111 | 4782542644 | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 4782542644 | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| Organization Legal Name | MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Nichole Van Dine | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| David Brian Remington | Cardiovascular Disease (cardiology) | Middle Georgia Heart and Vascular Center, LLC | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 |
| Morgan Brooke Dowd | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 |
| Heather Ann Hall | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 1570 Watson Blvd, Warner Robins, GA 31093-3473 |
| William Knopf | Cardiovascular Disease (cardiology) | Middle Georgia Heart and Vascular Center, LLC | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 |
| Angela R Ballard | Physician Assistant | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| Talley F Culclasure Jr. | Cardiovascular Disease (cardiology) | Middle Georgia Heart and Vascular Center, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
| Street Address |
321 S 9TH ST |
| City | GRIFFIN |
| State | GA |
| Zip | 30224-4111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Nichole Van Dine | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| Angela R Ballard | Physician Assistant | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jolina Pamela C Santos | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
| Sonu Singh | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
| James J Clark | Optometry | 210 S 16th St, Griffin, GA 30224-2663 | |
| Angela Parker | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Vicky E Mack | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 621 Carver Rd, Griffin, GA 30224-3937 |
| Nballu Goba | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Carlena Plunkett | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Latonia Michelle Trawick | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Dwayne L Watkins | Internal Medicine | Heartland Healthcare PC | 327 S 9th St, Griffin, GA 30224-4111 |
| Hannah R Cecil | Nurse Practitioner | Healthy Ever After Inc | 315 S 12th St, Griffin, GA 30224-4116 |
| Find all physicians in zip 30224 | |||
| City | GRIFFIN |
| Zip Code | 30224 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRIFFIN + 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.