Georgia L Ketchum (NPI# 1659690881, PAC ID# 9830317643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1659690881 |
| PAC ID by PECOS | 9830317643 |
| Professional Enrollment ID | I20140820000358 |
| Full Name | Georgia L Ketchum |
| Organization Legal Name | WEST FLORIDA BEHAVIORAL HEALTH INC |
| Address |
2191 E Johnson Ave Pensacola FL 32514-6039 |
| Phone Number | 8504943953 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9537126222 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100231 | WEST FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2191 E Johnson Ave, Pensacola, FL 32514-6039 | 8504943953 | WEST FLORIDA BEHAVIORAL HEALTH INC |
| 8391 N Davis Hwy, Pensacola, FL 32514-6048 | 9504943953 | WEST FLORIDA BEHAVIORAL HEALTH INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 44% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | WEST FLORIDA BEHAVIORAL HEALTH INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiya S Johnson | Psychiatry | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Patricia Michel-garrison | Psychiatry | West Florida Behavioral Health Inc | 2190 E Johnson Ave, Pensacola, FL 32514-6028 |
| Alexander Adelsberger | Psychiatry | West Florida Behavioral Health Inc | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Angela D Sanders | Nurse Practitioner | West Florida Behavioral Health Inc | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Michael Traver | Psychiatry | West Florida Behavioral Health Inc | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Richard Spotswood Hamilton | Psychiatry | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| John C Hayes | Psychiatry | West Florida Behavioral Health Inc | 8383 N Davis Hwy, Pensacola, FL 32514-6039 |
| Brittany C Williams | Psychiatry | West Florida Behavioral Health Inc | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Anna C Reynolds | Nurse Practitioner | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Shabana M. Jaffri | Psychiatry | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Street Address |
2191 E JOHNSON AVE |
| City | PENSACOLA |
| State | FL |
| Zip | 32514-6039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiya S Johnson | Psychiatry | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Richard Spotswood Hamilton | Psychiatry | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Anna C Reynolds | Nurse Practitioner | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Shabana M. Jaffri | Psychiatry | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Kiwana Brooks | Nurse Practitioner | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Thomas E Myer | Psychologist, Clinical | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Randy K Neil | Psychiatry | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Yusef A Canaan | Psychiatry | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Harbir S Sekhon | Psychiatry | West Florida Behavioral Health Inc | 2191 E Johnson Ave, Pensacola, FL 32514-6039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Brian Comitalo | General Surgery | West Florida Specialty Physicians LLC | 8333 N Davis Hwy, 5th Floor, Pensacola, FL 32514 |
| Suzanne Marie Day | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Susan J Summerton | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Brandi C Slapkunas | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Clyde D Reynolds | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Rodney W Schulze | Chiropractic | 965 E Nine Mile Rd, Pensacola, FL 32514-1648 | |
| Vicki P Merold | Nurse Practitioner | West Florida Cardiology Physicians LLC | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Jose Antonio Guitian | Cardiovascular Disease (cardiology) | West Florida Cardiology Physicians LLC | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Edward Anthony Schuka | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Serda C Hawthorne | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Find all physicians in zip 32514 | |||
| City | PENSACOLA |
| Zip Code | 32514 |
| Specialty | PSYCHIATRY |
| City + Specialty | PENSACOLA + PSYCHIATRY |
Please comment or provide details below to improve the information on Georgia L Ketchum.
| 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.