Brian D Siddall (NPI# 1205029352, PAC ID# 8325026644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1205029352 |
PAC ID by PECOS | 8325026644 |
Professional Enrollment ID | I20040712001333 |
Full Name | Brian D Siddall |
Organization Legal Name | COMMUNITY HEALTH CARE SYSTEMS, INC. |
Address |
2251 W Elm St Wrightsville GA 31096-2017 |
Phone Number | 4788642600 |
Gender | M |
Credential | MD |
Graduation Year | 1980 |
Primary Specialty | GENERAL PRACTICE |
Group Practice PAC ID | 5890783179 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110092 | DODGE COUNTY HOSPITAL |
111333 | JEFF DAVIS HOSPITAL |
110125 | FAIRVIEW PARK HOSPITAL |
110128 | MEADOWS REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2251 W Elm St, Wrightsville, GA 31096-2017 | 4788642600 | COMMUNITY HEALTH CARE SYSTEMS, INC. |
Organization Legal Name | COMMUNITY HEALTH CARE SYSTEMS, INC. |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lynn Denny | Family Medicine | Community Health Care Systems, Inc. | 102 A Airport Rd Ne, Milledgeville, GA 31061-9313 |
Alesha Edwards | Podiatry | Community Health Care Systems, Inc. | 616 Ferncrest Dr, Sandersville, GA 31082-1863 |
Keisha Renee Callins | Obstetrics/gynecology | Community Health Care Systems, Inc. | 4292 Gray Hwy, Gray, GA 31032-5900 |
Charles E Jackson Jr. | General Practice | Community Health Care Systems, Inc. | 107 Fairview Park Dr, Dublin, GA 31021-2501 |
Bridgett C Bailey | Family Medicine | Community Health Care Systems, Inc. | 557 A Broad St Nw, Crawfordville, GA 30631-2918 |
Oscar H Salvat | Internal Medicine | Community Health Care Systems, Inc. | 2251 W Elm St, Wrightsville, GA 31096-2017 |
Israel D Bryson | Family Medicine | Community Health Care Systems, Inc. | 623 N Main St, Wrens, GA 30833-1178 |
Kent Douglass Ford | Family Medicine | Community Health Care Systems, Inc. | 616 Ferncrest Dr, Sandersville, GA 31082-1863 |
Paula Fields | Clinical Social Worker | Community Health Care Systems, Inc. | 2251 W Elm St, Wrightsville, GA 31096-2017 |
Cherilyn Smith Zellner | Family Medicine | Community Health Care Systems, Inc. | 616 Ferncrest Dr, Sandersville, GA 31082-1863 |
Street Address |
2251 W ELM ST |
City | WRIGHTSVILLE |
State | GA |
Zip | 31096-2017 |
Name | Specialty | Organization | Address |
---|---|---|---|
Oscar H Salvat | Internal Medicine | Community Health Care Systems, Inc. | 2251 W Elm St, Wrightsville, GA 31096-2017 |
Paula Fields | Clinical Social Worker | Community Health Care Systems, Inc. | 2251 W Elm St, Wrightsville, GA 31096-2017 |
Tanya Y Jones | Family Practice | Community Health Care Systems, Inc. | 2251 W Elm St, Wrightsville, GA 31096-2017 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward D Sammons Jr. | Optometry | 337 W Court St, Wrightsville, GA 31096-5221 |
City | WRIGHTSVILLE |
Zip Code | 31096 |
Specialty | GENERAL PRACTICE |
City + Specialty | WRIGHTSVILLE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Brian D Siddall.
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.