Jose Justiniano Ayala (NPI# 1831163898, PAC ID# 8426112830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1831163898 |
| PAC ID by PECOS | 8426112830 |
| Professional Enrollment ID | I20090130000094 |
| Full Name | Jose Justiniano Ayala |
| Organization Legal Name | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| Address |
87 S Burnt Mill Rd La Fayette GA 30728-4263 |
| Phone Number | 7069962797 |
| Gender | M |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0547272650 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110054 | FLOYD MEDICAL CENTER |
| 110168 | REDMOND REGIONAL MEDICAL CENTER |
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| 111330 | POLK MEDICAL CENTER |
| 440104 | ERLANGER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 87 S Burnt Mill Rd, La Fayette, GA 30728-4263 | 7069962797 | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| 11638 Hwy 27 8, Summerville, GA 30747-8515 | 7069070932 | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| 13570 N Main St, Trenton, GA 30752-2012 | 4046577575 | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| 134 Rhea Mcclanahan Dr, Tunnel Hill, GA 30755-7328 | 7065161814 | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| Organization Legal Name | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Bradley | Family Medicine | Primary Health Care Center of Dade, Inc. | 205 Jenkins Rd, Rossville, GA 30741-4016 |
| Michael Robert Mccoy | Internal Medicine | Primary Health Care Center of Dade, Inc. | 13570 N Main St, Trenton, GA 30752-2012 |
| Dee Ann Harwell | Registered Dietitian Or Nutrition Professional | Primary Health Care Center of Dade, Inc. | 11638 Hwy 27 8, Summerville, GA 30747-8515 |
| Alfred Lua | Internal Medicine | Primary Health Care Center of Dade, Inc. | 13570 N Main St, Trenton, GA 30752-2012 |
| Street Address |
87 S BURNT MILL RD |
| City | LA FAYETTE |
| State | GA |
| Zip | 30728-4263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred J Duhon | Family Practice | 1110 N Main St, Lafayette, GA 30728-2120 | |
| Thomas A Ford | Chiropractic | 1304 N Main St, La Fayette, GA 30728-2137 | |
| Latefa N Terry | Physical Therapy | 120 W Villanow St, Lafayette, GA 30728-2463 | |
| Stanley M Ireland | Family Medicine | Memorial Health Partners Foundation, Inc | 611 E Villanow St, Lafayette, GA 30728-2618 |
| Christina R Parkhurst | General Surgery | Memorial Health Partners Foundation, Inc | 611 E Villanow St, Lafayette, GA 30728-2618 |
| Jaime Ponce-portugal | General Surgery | Memorial Health Partners Foundation, Inc | 611 E Villanow St, Lafayette, GA 30728-2618 |
| Teddy A Scoggins | Family Medicine | Memorial Health Partners Foundation, Inc | 611 E Villanow St, Lafayette, GA 30728-2618 |
| Max R Baldwin Jr. | Physician Assistant | Memorial Health Partners Foundation, Inc | 611 E Villanow St, Lafayette, GA 30728-2618 |
| Timothy Mark Ashburn | Pulmonary Disease | Memorial Health Partners Foundation, Inc | 611 E Villanow St, Lafayette, GA 30728-2618 |
| Brian C Daily | Family Medicine | Memorial Health Partners Foundation, Inc | 611 E Villanow St, Lafayette, GA 30728-2618 |
| Find all physicians in zip 30728 | |||
| City | LA FAYETTE |
| Zip Code | 30728 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LA FAYETTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jose Justiniano Ayala.
| 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.