Foster Blake Brin (NPI# 1083701312, PAC ID# 8123334752) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1083701312 |
| PAC ID by PECOS | 8123334752 |
| Professional Enrollment ID | I20150827002065 |
| Full Name | Foster Blake Brin |
| Organization Legal Name | RIVER EDGE BEHAVIORAL HEALTH CENTER |
| Address |
175 Emery Hwy Macon GA 31217-3692 |
| Phone Number | 9127514519 |
| Gender | M |
| Graduation Year | 1978 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1153315874 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| Address | Phone | Organization |
|---|---|---|
| 175 Emery Hwy, Macon, GA 31217-3692 | 9127514519 | RIVER EDGE BEHAVIORAL HEALTH CENTER |
| Organization Legal Name | RIVER EDGE BEHAVIORAL HEALTH CENTER |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Sanders | Nurse Practitioner | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Sujatha K Reddy | Psychiatry | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Stephanie M Welch | Nurse Practitioner | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Rita A Judy | Clinical Social Worker | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Jacquelyn D. Owens | Certified Clinical Nurse Specialist (cns) | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Theresa Courtney | Pediatric Medicine | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Richard L Elliott | Psychiatry | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Manuel Paulin Lucero | Psychiatry | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Jane Butler Braxley | Clinical Social Worker | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Luann M Shaw-brown | Clinical Nurse Specialist | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Street Address |
175 EMERY HWY |
| City | MACON |
| State | GA |
| Zip | 31217-3692 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Sanders | Nurse Practitioner | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Sujatha K Reddy | Psychiatry | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Stephanie M Welch | Nurse Practitioner | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Rita A Judy | Clinical Social Worker | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Jacquelyn D. Owens | Certified Clinical Nurse Specialist (cns) | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Theresa Courtney | Pediatric Medicine | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Richard L Elliott | Psychiatry | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Manuel Paulin Lucero | Psychiatry | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Jane Butler Braxley | Clinical Social Worker | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Luann M Shaw-brown | Clinical Nurse Specialist | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farhan Siddiqui | Internal Medicine | 535 Coliseum Dr, Macon, GA 31217-0104 | |
| Eulanda L Waller | Occupational Therapy | Waller Occupational Therapy and Consulting, LLC | 315 Christina Ct, Macon, GA 31217-1331 |
| Harold P Katner | Internal Medicine | 180 Emery Hwy, Macon, GA 31217-3656 | |
| Ray H Mccard Sr. | Psychiatry | River Edge Behavioral Health Center | 175 Emery Hwy, Macon, GA 31217-3692 |
| Cesar Y Figueroa | Psychiatry | Macon Psychiatric Hospitalists, LLC | 340 Hospital Dr E, Macon, GA 31217-3838 |
| Christine D Lallos | Anesthesiology | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Sarah Hamler | Pathology | Integrated Regional Laboratories Pathology Services, LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Angela Penix | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Michael B Evans | Neurology | Coliseum Primary Care Services, LLC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Robert P Wright | Internal Medicine | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Find all physicians in zip 31217 | |||
| City | MACON |
| Zip Code | 31217 |
| Specialty | PSYCHIATRY |
| City + Specialty | MACON + PSYCHIATRY |
Please comment or provide details below to improve the information on Foster Blake Brin.
| 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.