Robert L Nelson (NPI# 1659422616, PAC ID# 9739078965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1659422616 |
PAC ID by PECOS | 9739078965 |
Professional Enrollment ID | I20050210000412 |
Full Name | Robert L Nelson |
Organization Legal Name | PEACH EMERGENCY GROUP LLC |
Address |
1960 Ga Hwy 247 Connector Byron GA 31008-5663 |
Phone Number | 4786548400 |
Gender | M |
Credential | MD |
Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
Graduation Year | 1979 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE |
Group Practice PAC ID | 2567628993 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
111310 | MEDICAL CENTER OF PEACH COUNTY, NAVICENT HEALTH |
Address | Phone | Organization |
---|---|---|
1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 | 4786548400 | PEACH EMERGENCY GROUP LLC |
Organization Legal Name | PEACH EMERGENCY GROUP LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tara L Butts | Nurse Practitioner | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Charles O Ebhohimen | Internal Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Courtney Anne Young | Nurse Practitioner | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
David L Kocherla | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
John J Rogers | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Clifford E Becker | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Street Address |
1960 GA HWY 247 CONNECTOR |
City | BYRON |
State | GA |
Zip | 31008-5663 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tara L Butts | Nurse Practitioner | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Charles O Ebhohimen | Internal Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Courtney Anne Young | Nurse Practitioner | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
David L Kocherla | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
John J Rogers | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Clifford E Becker | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erlinda Smith | Occupational Therapy | Middle Georgia Family Rehab | 100 Hamilton Pointe Dr, Byron, GA 31008 |
Danielle Wallace | Occupational Therapy | Middle Georgia Family Rehab | 100 Hamilton Pointe Dr, Byron, GA 31008 |
Tameka D Byrd | Family Medicine | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Gorby Leon | Family Medicine | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
John Brown | Family Medicine | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Linda S Vanosdol | Nurse Practitioner | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Rachel L Peterson | Nurse Practitioner | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Michael G Moss | Internal Medicine | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Jaekea Teshea Coar | Nurse Practitioner | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
John A Hudson | Internal Medicine | Health Services of Central Georgia | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Find all physicians in zip 31008 |
City | BYRON |
Zip Code | 31008 |
Specialty | FAMILY MEDICINE |
City + Specialty | BYRON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert L Nelson.
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.