Military Health Care Provider Health Providers - GEORGIA

171000000X - Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

List of 110 registered providers with a business address in Georgia whose primary or secondary health provider taxonomy code is Military Health Care Provider, of which 3 are registered as organizations and 107 as individuals.

97% Individuals
3% Organizations
45% Female
52% Male
97% Individual Providers (107)3% Medical Organizations (3)45% Female Providers (50)52% Male Providers (57)

List of Providers

Provider Name Type AddressMedicarePECOS
1ST PROMPT HOME CAREOrganization1600 ATKINSON RD
LAWRENCEVILLE, GA 30043
(678) 856-0802
Non-Participating ProviderNO
JOSHUA ADKINSIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6761
Non-Participating ProviderNO
SHAYLA AMOSIndividual6600 VAN AALST BLVD BLDG 9250
FORT BENNING, GA 31905
(762) 408-2532
Non-Participating ProviderYES
ALICIA ANDERSONIndividual621 MCGRUDER ST. NE
ATLANTA, GA 30312
(404) 936-2336
Non-Participating ProviderNO
RONALD DAVID ANDERSONIndividual300 E. HOSPITAL ROAD
FORT EISENHOWER, GA 30905
(706) 787-1088
Non-Participating ProviderYES
MARCOS ARANDAIndividualGENERAL SURGERY, EISENHOWER ARMY MEDICAL CENTER 300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
(706) 787-1745
Accepts MedicareYES
PAMELA L ASADIIndividual4800 OLDE TOWNE PKWY STE 150A
MARIETTA, GA 30068
(770) 509-1025
Non-Participating ProviderNO
SEAN MICHAEL BACHAIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6965
Non-Participating ProviderYES
CHANNING ELYSE BARKERIndividual764 PINE STREET
MACON, GA 31201
(478) 633-1721
Non-Participating ProviderYES
PATRICK BARTONIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(843) 615-0230
Non-Participating ProviderNO
BRIANA ELIZABETH BEEGHLYIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6965
Non-Participating ProviderYES
ANTHONY BIOLZIIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(124) 356-9659
Non-Participating ProviderNO
LEE JOHN BIZONIndividualMARTIN ARMY COMMUNITY HOSPITAL 6600 VAN AALST BLVD
FORT MOORE, GA 31905
(866) 957-9224
Non-Participating ProviderNO
CORA ANNA BLODGETTIndividual6600 VAN AALST BLVD BLDG 9260
FORT MOORE, GA 31905
(762) 408-2655
Non-Participating ProviderNO
GEORGINA ELISE BOARDLEYIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(407) 288-5246
Non-Participating ProviderNO
RONALD LINDSAY BRADYIndividual3278 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-7539
Non-Participating ProviderYES
JOHN BRANDSMAIndividual6301 INDIANHEAD RD
FORT MOORE, GA 31905
(719) 684-4987
Non-Participating ProviderNO
MONIQUE BRINSONIndividual2232 BRIAR KNOLL RD
LITHONIA, GA 30058
(678) 267-6549
Non-Participating ProviderNO
HYRUM RAY BRONSONIndividual655 7TH ST BLDG 700-A78
ROBINS AFB, GA 31098
(478) 327-7607
Non-Participating ProviderYES
XIOMARA IVETTE BROWNIndividual1600 CLIFTON RD NE
ATLANTA, GA 30329
(404) 398-2957
Non-Participating ProviderNO
KATHERINE M. BROWNIndividual300 W HOSPITAL RD OCCUPATIONAL THERAPY CLINIC, DDEAMC
FORT GORDON, GA 30905
(706) 787-1049
Non-Participating ProviderNO
BRANDY BROWNIndividual2330 SCENIC HWY S STE 707
SNELLVILLE, GA 30078
(678) 542-7488
Non-Participating ProviderYES
ELIZABETH SHOTTS BRUNERIndividualEISENHOWER ARMY MEDICAL CENTER BLDG 300 HOSPITAL WAY
FT. GORDON, GA 30905
(706) 787-2131
Non-Participating ProviderYES
JESSI'CA COLEYIndividual451 BROOKVIEW DR STE A
RIVERDALE, GA 30274
(407) 387-0522
Non-Participating ProviderNO
COMPASSION COMMUNITY PCH LLCOrganization1942 APPLING HARLEM RD
APPLING, GA 30802
(762) 354-7007
Non-Participating ProviderNO
JAMES PATRICK CONNERIndividual6600 VAN AALST BLVD
FORT MOORE, GA 31905
(706) 408-2273
Non-Participating ProviderNO
ROBERT CHARLTON COOPERIndividual6600 VAN AALST BLVD
FORT MOORE, GA 31905
(762) 408-1617
Non-Participating ProviderNO
CASEY A DANIELSENIndividual6600 VAN AALST BLVD
FORT BENNING, GA 31905
(762) 408-2273
Non-Participating ProviderYES
ROBERT WILSON DELOATCHIndividual5260 CAMPBELLTON RD SW
ATLANTA, GA 30331
(404) 349-3049
Non-Participating ProviderNO
DANE DOUGLAS DICAROIndividual1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314
(912) 435-5965
Non-Participating ProviderYES
KRISTOPHER DOLEHANTYIndividual604 LOVEJOY LN
WOODSTOCK, GA 30189
(770) 268-4316
Non-Participating ProviderNO
JEREMIAS RAFAEL DUARTEIndividual9040 ROSWELL RD STE 500
ATLANTA, GA 30350
(404) 490-3391
Accepts MedicareYES
MELISSA MARYLYN DURHAMIndividual3278 MITCHELL BLVD # 905
MOODY AFB, GA 31699
(229) 257-7393
Non-Participating ProviderNO
KATRINA FARRELLIndividual6600 VAN AALST BLVD
FORT MOORE, GA 31905
(762) 408-2273
Non-Participating ProviderYES
KRISTEN MARIAH FOSTERIndividual2525 CUMBERLAND PARKWAY DEPARTMENT OF INTERNAL MEDICINE
ATLANTA, GA 30339
(770) 431-4235
Accepts MedicareYES
ASHLEY MEAGAN FOXIndividual300 W HOSPITAL RD DDEAMC - ATTN: PHYSICAL THERAPY
FORT GORDON, GA 30905
(706) 787-7351
Non-Participating ProviderNO
MICHELLE GAINTYIndividual5354 REYNOLDS ST STE 518
SAVANNAH, GA 31405
(912) 819-9650
Accepts MedicareYES
RICHARD GONZALEZIndividual7950 MARTIN LOOP FORT BENNING
COLUMBUS, GA 31905
(706) 544-3730
Non-Participating ProviderNO
INES GONZALEZ-TORRESIndividual422 FLOYD CIR
HINESVILLE, GA 31313
(912) 617-0922
Non-Participating ProviderNO
EPHRIAM PAUL HAMMIndividual6555 STANDING BOY RD
COLUMBUS, GA 31904
(706) 653-0161
Non-Participating ProviderNO
JOHN HATGASIndividual7840 ROSWELL RD STE 325
ATLANTA, GA 30350
(770) 396-3898
Non-Participating ProviderNO
VICTORIA HOANGIndividual6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
(762) 408-2655
Non-Participating ProviderNO
RYAN MULLINS HODGEMANIndividual1120 15TH ST
AUGUSTA, GA 30912
(706) 721-4467
Non-Participating ProviderYES
NATHAN LE HOLTERMANIndividual1817 CLIFTON RD NE
ATLANTA, GA 30329
(404) 712-6331
Non-Participating ProviderYES
ENO N IKOKUIndividual1500 HOOD AVENUE BUILDING 720
FORT GILLEM, GA 30297
(404) 469-3090
Non-Participating ProviderNO
KATHERINE RENEE INGLEIndividual460 NORTHSIDE CHEROKEE BLVD STE 100
CANTON, GA 30115
(770) 292-3490
Non-Participating ProviderYES
INTEGRATIVE CAP HEALTH PRACTICES
ESSENCE IN NUTRITIION CONSULTANTS
Organization770 OLD ROSWELL PL STE G400
ROSWELL, GA 30076
(470) 282-1200
Non-Participating ProviderNO
ETHAN IRVINIndividual655 7TH ST BLDG 700
ROBINS AFB, GA 31098
(478) 497-7569
Non-Participating ProviderNO
EVELYN JACKSONIndividual209 MILLER LOOP FORT BENNING
COLUMBUS, GA 31905
(706) 545-1661
Non-Participating ProviderNO
ALONZO E. JONESIndividual2300 MANCHESTER EXPY STE 1003
COLUMBUS, GA 31904
(706) 323-5552
Accepts MedicareYES
DEWINA JONESIndividual411 NEW LIBERTY CHURCH RD LOT 5
BRASELTON, GA 30517
(678) 837-8287
Non-Participating ProviderNO
JESSICA KAFORIndividual1040 HUFF RD NW APT 2312
ATLANTA, GA 30318
(430) 404-7611
Non-Participating ProviderNO
RAFAEL JACOB KAPLANIndividualTY, DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER 300 EAST HOSPITAL RD
FORT GORDON, GA 30905
(706) 787-1648
Non-Participating ProviderYES
TIMOTHY PAUL KATOSKIIndividual135 WOOD CREST CIR
BRUNSWICK, GA 31525
(229) 548-4561
Non-Participating ProviderNO
JERRY KELLYIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-5211
Non-Participating ProviderNO
GREGGORY THEOTIS KENTIndividual223 E GRADY AVE
LYONS, GA 30436
(000) 000-0000
Non-Participating ProviderNO
MORGAN KIMMELIndividual6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
(762) 408-2655
Non-Participating ProviderNO
ANNA KLEINIndividual655 7TH ST BLDG 700 78 MDG
ROBINS AFB, GA 31098
(478) 327-7850
Non-Participating ProviderNO
JESSE K LAVERDIEREIndividual300 E HOSPITAL RD
FORT GORDON, GA 30905
(706) 787-5811
Non-Participating ProviderNO
MARILYN LAWRENCEIndividual7950 MARTIN LOOP BUILDING 9200
FORT BENNING, GA 31905
(706) 544-2041
Non-Participating ProviderNO
RITA RENA LIVINGSTONIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6965
Non-Participating ProviderNO
PATRICIA LEA MARREROIndividual6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
(762) 408-0456
Non-Participating ProviderNO
RAMON LUIS MEDINAIndividual125 WOODBURY LN
CANTON, GA 30114
(404) 384-7692
Accepts MedicareNO
CLARISSA JO MIDDLETONIndividual4040 PINNACLE WAY
HEPHZIBAH, GA 30815
(863) 329-2510
Non-Participating ProviderNO
KRISTOPHER DAVID MINSINGERIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6965
Non-Participating ProviderYES
YONATAN MOREHIndividualMARTIN ARMY COMMUNITY HOSPITAL 6600 VAN AALST BLVD., BLDG 9250
FORT MOORE, GA 31905
(301) 295-0593
Non-Participating ProviderYES
KRYSTAL LEE MORRISIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(435) 696-5912
Non-Participating ProviderNO
TERRY LEE MUELLERIndividual300 W HOSPITAL RD ORTHOPAEDIC SURGERY CLINIC
FORT GORDON, GA 30905
(706) 787-2741
Non-Participating ProviderYES
DONNA SUE MULLERIndividual2715 COSMOS DR NE
ATLANTA, GA 30345
(770) 938-3304
Non-Participating ProviderYES
ORION WAYNE MUMAWIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6965
Non-Participating ProviderNO
RONALD LEE NEWCOMBIndividual6600 VAN AALST BLVD
FORT MOORE, GA 31905
(762) 408-1373
Non-Participating ProviderYES
JAMIE LEE NIGITOIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6965
Non-Participating ProviderYES
VIKKI ALISHA NUNNERYIndividual6600 VAN AALST BLVD
FORT MOORE, GA 31905
(762) 408-2273
Non-Participating ProviderNO
JOSE FRANCISCO PALACIOIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(561) 703-1669
Non-Participating ProviderNO
MATTHEW LEE PENSEIndividual814 RADFORD BLVD
ALBANY, GA 31704
(229) 639-7886
Non-Participating ProviderNO
SHELDON JOHN PHILLIPSIndividual300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER, ATTN: CREDENTIALS
FORT GORDON, GA 30905
(706) 787-7448
Non-Participating ProviderNO
DAVID MERICA POWELLIndividual300 E HOSPITAL RD
FT GORDON, GA 30905
(706) 787-7448
Non-Participating ProviderNO
JACQUES PREJEANIndividual6600 VAN AALST BLVD
FORT MOORE, GA 31905
(206) 484-7480
Non-Participating ProviderNO
DUSTIE CHARLENE PRICEIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-6965
Non-Participating ProviderNO
BLAIR BRENT RHODEHOUSEIndividual6600 VAN AALST BLVD
FORT MOORE, GA 31905
(762) 408-2611
Non-Participating ProviderNO
JAMES RICEIndividual1250 E 66TH ST
SAVANNAH, GA 31404
(800) 637-2378
Non-Participating ProviderNO
RASHAD XAVIER ROBERSONIndividual6079 KNOLOGY WAY
COLUMBUS, GA 31909
(706) 507-4433
Accepts MedicareNO
ANAYELI RODRIGUEZIndividual6600 VAN AALST BLVD
FORT MOORE, GA 31905
(762) 408-2273
Non-Participating ProviderYES
CHRISTOPHER BRIAN ROWLEYIndividual1120 15TH ST # AF-1020
AUGUSTA, GA 30912
(706) 721-2273
Maybe Accepts MedicareYES
HELEN ANN SANTIAGOIndividual300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
(706) 787-2720
Non-Participating ProviderNO
GEORGETA SEALEYIndividual1061 HARMON AVE
FORT STEWART, GA 31314
(912) 435-5547
Non-Participating ProviderYES
ELENA WINTER SHAHBAZIIndividual300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
(301) 295-4440
Accepts MedicareYES
ROBERT V. SIGHIndividual770 VILLAGE SQUARE DR
STONE MOUNTAIN, GA 30083
(404) 298-8998
Non-Participating ProviderNO
JASON ANTHONY SKAROSIIndividual300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
(706) 787-2720
Non-Participating ProviderNO
JENNA SMEDESIndividual6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
(762) 408-2655
Non-Participating ProviderNO
GERARDO JULIAN SORACCOIndividual4415 NORTHSIDE CHASE NW
ATLANTA, GA 30327
(404) 364-9017
Non-Participating ProviderNO
ADAM ANDREW SPENCERIndividual2300 LAKEVIEW PKWY STE 700
ALPHARETTA, GA 30009
(678) 694-1744
Non-Participating ProviderNO
ZACHARY BERNARD STRONGIndividual1000 HALSEY AVE SE BLDG 550
MARIETTA, GA 30060
(678) 655-4302
Non-Participating ProviderNO
JOHN DAVID SYNOVECIndividual6262 VETERANS PKWY
COLUMBUS, GA 31909
(706) 494-3326
Non-Participating ProviderNO
EMMALYN V. TAGUEIndividual78TH MEDICAL GROUP 655 SEVENTH ST
ROBINS AFB, GA 31098
(478) 327-8487
Non-Participating ProviderNO
JUSTIN LEE THEISSIndividual3278 MITCHELL BLVD, MOODY AFB
VALDOSTA, GA 31699
(229) 257-1459
Non-Participating ProviderNO
MALLORI TITTLEIndividual6254 WARM SPRINGS RD APT G6
COLUMBUS, GA 31909
(706) 887-1182
Non-Participating ProviderNO
NANCY TORRESIndividualAMEDD PROFESSIONAL MANAGEMENT COMMAND 1401 DESHLER STREET SW
FT MCPHERSON, GA 30330
(562) 296-5331
Non-Participating ProviderNO
SANDRA DIANE TYREEIndividual6490 CLYATTSTONE RD
HAHIRA, GA 31632
(229) 300-1226
Non-Participating ProviderNO

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Individual Female Provider | Individual Male Provider | Medical Organization