PSHP-Provider Directory/Directorio de Proveedores- Central ...

[Pages:48]Provider Directory

Directorio de Proveedores

Central and East Regions/Central y Este

Supplemental

1-800-704-1484

TDD/TTY: 1-800-255-0056



TABLE OF CONTENTS

Page

Hospitals ................................................................................................ 3

Primary Care Providers ........................................................................ 4

Specialists ............................................................................................. 9

Self-Referred Service Providers ........................................................ 26 Federally Qualified Health Centers (FQHCs)............................. 26 Rural Health Centers (RHCs)...................................................... 27 Clinic ............................................................................................. 28 Mental Health/Substance Abuse................................................ 29 Routine Dental Services.............................................................. 31 Routine Vision Services .............................................................. 39

Ancillary ............................................................................................... 40

Pharmacy............................................................................................. 41

Index..................................................................................................... 42

NOTE: The information in this directory was accurate when published. Since then, changes may have occurred that affect the information. Please call Member Services at 1-800-704-1484 or TTD/TTY 1-800255-0056 for the most current provider information. 3/2018

This directory is current as of the date listed below. A provider's listing in the directory does not guarantee that the provider is still in the network or accepting new members.

Peach State Health Plan

3/2018

1

TABLA DE CONTENIDOS

Pa? gina

Hospitales .............................................................................................. 3

Proveedores de atencio? n primaria...................................................... 4

Especialistas ......................................................................................... 9

Proveedores de servicios con autoreferencia ................................. 26 Centros de salud certificadospor el gobierno federal............. 26 Centros de salud rurales............................................................. 27 Cl?inica ........................................................................................... 28 Salud mental y abuso desustancias qu?imicas ......................... 29 Servicios dentales de rutina ....................................................... 31 Servicios de la vista de rutina .................................................... 39

Auxiliar ................................................................................................. 40

Farmacia .............................................................................................. 41 ?Indice ................................................................................................... 42

OBSERVACIO? N: La informacio? n en este directorio era precisa al momento de publicacio? n. Desde ese momento, pueden haber ocurrido cambios que podr?ian afectar la informacio? n. Llame a la l?inea de servicios a los miembros al 1-800-704-1484 o a la l?inea TDD/TTY para personas con problemas de audicio? n al 1-800-255-0056 para obtener la informacio? n ma? s actualizada de los proveedores. 3/2018

Este directorio esta? actualizado a la fecha que se indica en el pie de pa? gina. La inclusio? n de un proveedor en el directorio no garantiza que el proveedor siga en la red o que este? aceptando a miembros nuevos.

Peach State Health Plan

3/2018

2

Hospitals/Hospitales

General Acute Care Hospital/Hospital general para enfermedades agudas - Houston County

General Acute Care Hospital/ Hospital general para enfermedades agudas

Houston County

Southeast Surgical Associates

1812 E Main Street Rehobeth, AL 36301 334-792-5184

Meriwether County

Roosevelt Warm Springs Inst For Rehab

6135 Roosevelt Highway Warm Springs, GA 31830 706-655-2065

Patient Centered Medical Home -- NCQA Certified.

Telehealth Telehealth participant (receiving sites). The receiving site is where the doctor on the telehealth screen is located.

Telehealth Participante en Telehealth (sitios receptores). El sitio receptor es donde el me? dico en la pantalla de Telehealth esta?

ubicado.

Telemedicine Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit.

Telemedicine Participante en telemedicine (sitio de presentacio? n). Un sitio de presentacio? n es donde el miembro va para una visita

de telehealth.

Established patients only/Los pacientes establecidos so? lo

Not accepting new patients/No aceptando nuevos a pacientes

Restrictions/Restricciones

*Language(s) spoken other than English/Idiomas adema? s de ingle? s

Facility can accommodate wheelchairs/La instalacio? n puede acomodar sillas de ruedas

Mon/lun

Tues/mar

Wed/mie? r

Thurs/jue

Fri/vier

Sat/sa? b

Sun/dom

3

Primary Care Providers/Proveedores de atencio? n primaria

Family Medicine/Medicina general para la familia - Baldwin County

Family Medicine/ Medicina general para la familia

Baldwin County

Southerland, James E, MD Sex/Sexo: M FAMILY MEDICAL OF

MILLEDGEVILLE 111 Fieldstone Drive Suite 114 Milledgeville, GA 31061 478-414-1414

18 Y-100 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Beaufort County

Knobel, Laura C, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes SJ/C Medical Group Bluffton 10 Oak Forest Road Suite C Bluffton, SC 29910 843-815-3006

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Bibb County

Collins, Jennifer W, FNP Sex/Sexo: F Neurology Associates Llp 389 Mulberry Street Suite 200 Macon, GA 31201 478-743-9123

0 M-99 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Patel, Dipesh R, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Central Georgia

Rehabilitation Hospital 3351 Northside Drive Macon, GA 31210 478-201-6500

0 Y-99 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Sexton, Dtawahn, NP Sex/Sexo: M First Choice Primary Care,

Inc 3741 Houston Avenue Macon, GA 31206 478-787-4266

18 M-99 Y Mon-Fri: 8:00 AM - 4:30 PM,

Sat-Sun: Closed

Burke County

Ford, James M, MD Sex/Sexo: M Medical Associates Plus

(Keysville) 480 Martin Luther King Jr

Road Suite B Keysville, GA 30816 706-790-4440

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Chattahoochee County

Brown, Jessica R, PA Sex/Sexo: F Cusseta Medical Center 298 US Highway 520 Cusseta, GA 31805 706-989-1050

0 Y-99 Y Mon-Fri: 8:30 AM - 5:00 PM,

Sat-Sun: Closed

Crisp County

Hodges, Jami N, FNP Sex/Sexo: F Cordele CareConnect Family

Practice 712 N 7th Street Cordele, GA 31015 229-276-0052

0 Y-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Mitchell, Aundre R, NP Sex/Sexo: M Crisp Urgent Care & Medical

Center 602 East 16th Avenue Suite B Cordele, GA 31015 229-271-9330

Mon-Sun: 9:00 AM - 8:00 PM

Greene County

Cheves, Harry L, MD Sex/Sexo: M AU Medical Associates 2011 Westend Drive Greensboro, GA 30642 706-453-9803, 706-721-

8623

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: Closed

Ringer, Dave A, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Tendercare Women's Center 1040 Park Drive Greensboro, GA 30642 706-453-4945

0 Y-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Southerland, James E, MD Sex/Sexo: M Family Medical of Lake

Oconee 1041 Park Drive Greensboro, GA 30642 706-453-4945

18 Y-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Southerland, James E, MD Sex/Sexo: M Tendercare Women's Center 1040 Park Drive Greensboro, GA 30642 706-453-4945

18 Y-100 Y Female only/Mujeres solamente Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: Closed

Houston County

Decker, Laura S, NP Sex/Sexo: F Houston Medical Center 1601 Watson Boulevard Warner Robins, GA 31093 478-922-4281

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: Closed

Martin, Tamika A, NP Sex/Sexo: F Medical Group Of Central

Georgia LLC 2054 Watson Boulevard Warner Robins, GA 31093 478-918-0770

0 Y-99 Y Mon-Thur: 9:00 AM - 5:00

PM, Fri: 9:00 AM - 1:00 PM, Sat: 9:00 AM - 1:00 PM, Sun: Closed

Jefferson County

Ford, James M, MD Sex/Sexo: M Medical Associates Plus

(Wrens) 501 East Broad Street Wrens, GA 30833 706-547-2559

0 M-99 Y Mon-Tue: 8:00 AM - 5:00

PM, Wed: 8:00 AM - 12:00 PM, Thur-Fri: 8:00 AM 5:00 PM, Sat-Sun: Closed

Owens, Crystal D, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Community Health Care

Systems Inc - Wrens 623 North Main Street Wrens, GA 30833 706-547-1557

0 M-99 Y Mon: 8:30 AM - 7:00 PM,

Tue-Thur: 8:30 AM - 5:00 PM, Fri: 8:30 AM - 1:30 PM, Sat-Sun: Closed

Lamar County

Swatts, Brandi J, FNP Sex/Sexo: F Upson Family Physicians,

LLC 100 Highway 18 West Suite 106 Barnesville, GA 30204 770-358-3284

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Macon County

Hatten, Karen P, NP Sex/Sexo: F Southwest Family Practice. 300 Medical Court Oglethorpe, GA 31068 478-458-9942

Mon-Fri: 8:30 AM - 5:00 PM, Sat-Sun: Closed

Hodges, Jami N, FNP Sex/Sexo: F Southwest Family Practice. 300 Medical Court Oglethorpe, GA 31068 478-458-9942

0 Y-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Ricker, Gail M, NP Sex/Sexo: F Sumter Pediatrics LLC 105 Walnut Street Montezuma, GA 31063 478-472-4633

0 M-21 Y Mon-Thur: 8:30 AM - 5:00

PM, Fri: 8:30 AM - 12:30 PM, Sat-Sun: Closed

Muscogee County

Brock, Felicia, NP Sex/Sexo: F St Francis Urgent Care-

Midtown 3465 Macon Road Suite D Columbus, GA 31907 706-243-3051

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Hamilton JR, Edward W, DO

Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Family First Medical Care 4215 Woodruff Road Columbus, GA 31904 678-653-6080

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Martin, Elizabeth M, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Columbus Reg. Medical

Group- Winship Family Med. 2401 Brookstone Center Parkway Building 200 Columbus, GA 31904 706-256-0700

0 M-99 Y Mon-Thur: 8:30 AM - 5:00

PM, Fri: Closed, Sat-Sun: Closed

Patient Centered Medical Home -- NCQA Certified.

Telehealth Telehealth participant (receiving sites). The receiving site is where the doctor on the telehealth screen is located.

Telehealth Participante en Telehealth (sitios receptores). El sitio receptor es donde el me? dico en la pantalla de Telehealth esta?

ubicado.

Telemedicine Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit.

Telemedicine Participante en telemedicine (sitio de presentacio? n). Un sitio de presentacio? n es donde el miembro va para una visita

de telehealth.

Established patients only/Los pacientes establecidos so? lo

Not accepting new patients/No aceptando nuevos a pacientes

Restrictions/Restricciones

*Language(s) spoken other than English/Idiomas adema? s de ingle? s

Facility can accommodate wheelchairs/La instalacio? n puede acomodar sillas de ruedas

Mon/lun

Tues/mar

Wed/mie? r

Thurs/jue

Fri/vier

Sat/sa? b

Sun/dom

4

Primary Care Providers/Proveedores de atencio? n primaria

Family Medicine/Medicina general para la familia - Muscogee County

Family Medicine/ Medicina general para la familia

cont.

Muscogee County cont.

Martin, Elizabeth M, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Columbus Regional Med.

Group- Roman Primary Care 2737 Warm Springs Road Building B and C Columbus, GA 31904 706-653-2255

0 M-99 Y Mon-Thur: 8:30 AM - 5:00

PM, Fri: Closed, Sat-Sun: Closed

Pechon, Catherine J, MD Sex/Sexo: F St. Francis Columbus Clinic 610 19th Street Columbus, GA 31901 706-322-7884

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Peterson, Jasmine N, PA Sex/Sexo: F Valley Healthcare System Inc 1600 Fort Benning Road Columbus, GA 31903 706-322-9599

0 M-99 Y Mon: 8:30 AM - 5:30 PM,

Tue: 8:30 AM - 8:30 PM, Wed: 8:30 AM - 5:30 PM, Thur: 8:30 AM - 8:30 PM, Fri: 8:30 AM - 5:30 PM, Sat: 8:00 AM - 2:00 PM, Sun: Closed

Peach County

Alford, Susan A, NP Sex/Sexo: F Byron Convenient Care 6005 Watson Boulevard Suite 100 Byron, GA 31008 478-956-5002

0 Y-99 Y Mon-Sun: 9:00 AM - 8:00

PM

Richmond County

Bannister, Brandis, MSN Sex/Sexo: F Neighborhood Imrovement

Project Inc 3623 J Dewey Gray Circle Suite 107 Augusta, GA 30909 706-922-7400 *Spanish

Mon-Fri: 8:30 AM - 5:00 PM, Sat-Sun: Closed

Byne, Edmund G, MD Sex/Sexo: M Medical Associates Plus 2467 Golden Camp Road Augusta, GA 30906 706-790-4440

0 M-99 Y Mon: 8:00 AM - 7:00 PM,

Tue-Fri: 8:00 AM - 5:00 PM, Sat-Sun: Closed

Byne, Edmund G, MD Sex/Sexo: M Neighborhood Imrovement

Project Inc 3623 J Dewey Gray Circle Suite 107 Augusta, GA 30909 706-922-7400

0 M-99 Y Mon-Fri: 8:30 AM - 5:00 PM,

Sat-Sun: Closed

Ford, James M, MD Sex/Sexo: M Medical Associates Plus 2467 Golden Camp Road Augusta, GA 30906 706-790-4440

0 M-99 Y Mon: 8:00 AM - 7:00 PM,

Tue-Fri: 8:00 AM - 5:00 PM, Sat-Sun: Closed

Ford, James M, MD Sex/Sexo: M Medical Associates Plus

(Epic Health) 2050 Walton Way Suite 101 Augusta, GA 30904 706-434-1590

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Hamrick, Denise, NP Sex/Sexo: F Neighborhood Imrovement

Project Inc 3623 J Dewey Gray Circle Suite 107 Augusta, GA 30909 706-922-7400 *Spanish

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: Closed

Khera, Ma Victoria, NP Sex/Sexo: F Neighborhood Imrovement

Project Inc 3623 J Dewey Gray Circle Suite 107 Augusta, GA 30909 706-922-7400

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Meckes, Abigail R, PA Sex/Sexo: F Center For Primary Care PC 1701 Magnolia Way Suite 102 Augusta, GA 30906 706-922-6699

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Meckes, Abigail R, PA Sex/Sexo: F Center For Primary Care PC 2011 Windsor Spring Road Augusta, GA 30906 706-798-8626

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Sterett, Keith R, PA Sex/Sexo: M Neighborhood Imrovement

Project Inc 3623 J Dewey Gray Circle Suite 107 Augusta, GA 30909 706-922-7400 *Spanish

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: Closed

Taylor County

Mitchell, Aundre R, NP Sex/Sexo: M Butler Medical Center 80 W Main Street Butler, GA 31006 478-862-2453

0 Y-99 Y Mon-Fri: 8:30 AM - 5:00 PM,

Sat-Sun: Closed

Telfair County

Owens, Crystal D, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Community Health Care

Systems Inc (Telfair Co.) 280 Willow Creek Lane Mc Rae, GA 31055 229-868-0017

0 M-99 Y Mon: 8:30 AM - 7:00 PM,

Tue-Thur: 8:30 AM - 5:00 PM, Fri: 8:30 AM - 1:30 PM, Sat-Sun: Closed

Upson County

Mitchell, Aundre R, NP Sex/Sexo: M Thomaston Convenient Care 101 Deluxe Circle Suite B Thomaston, GA 30286 706-647-7509

0 Y-99 Y Mon-Fri: 9:00 AM - 8:00 PM,

Sat-Sun: Closed

Noguera, Christina H, MD Sex/Sexo: F Upson Family Practices 915 West Gordon Street Suite B Thomaston, GA 30286 706-647-7009

0 Y-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Noguera, Christina H, MD Sex/Sexo: F Upson Regional Medical

Center Clinic 206 Cherokee Road Thomaston, GA 30286 706-646-5730

0 Y-99 Y Mon-Tue: Closed, Wed-Fri:

10:00 AM - 6:00 PM, SatSun: Closed

Revell, Hannah M, NP Sex/Sexo: F Thomaston Convenient Care 101 Deluxe Circle Suite B Thomaston, GA 30286 706-647-7509

0 M-99 Y Mon-Fri: 8:30 AM - 5:00 PM,

Sat-Sun: Closed

Tallman, Jodi, NP Sex/Sexo: F Thomaston Convenient Care 101 Deluxe Circle Suite B Thomaston, GA 30286 706-647-7509

0 M-99 Y Mon-Fri: 9:00 AM - 8:00 PM,

Sat-Sun: Closed

Warren County

Owens, Crystal D, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Community Health Care

Systems Inc- Warrenton 1008 Atlanta Highway Warrenton, GA 30828 706-465-3253

0 M-99 Y Mon: 8:30 AM - 7:00 PM,

Tue-Thur: 8:30 AM - 5:00 PM, Fri: 8:30 AM - 1:30 PM, Sat-Sun: Closed

Washington County

Markham, Kandace A, PA Sex/Sexo: F Washington County Internal

Medicine 501 Sparta Road Suite F Sandersville, GA 31082 478-552-0001

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Patient Centered Medical Home -- NCQA Certified.

Telehealth Telehealth participant (receiving sites). The receiving site is where the doctor on the telehealth screen is located.

Telehealth Participante en Telehealth (sitios receptores). El sitio receptor es donde el me? dico en la pantalla de Telehealth esta?

ubicado.

Telemedicine Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit.

Telemedicine Participante en telemedicine (sitio de presentacio? n). Un sitio de presentacio? n es donde el miembro va para una visita

de telehealth.

Established patients only/Los pacientes establecidos so? lo

Not accepting new patients/No aceptando nuevos a pacientes

Restrictions/Restricciones

*Language(s) spoken other than English/Idiomas adema? s de ingle? s

Facility can accommodate wheelchairs/La instalacio? n puede acomodar sillas de ruedas

Mon/lun

Tues/mar

Wed/mie? r

Thurs/jue

Fri/vier

Sat/sa? b

Sun/dom

5

Primary Care Providers/Proveedores de atencio? n primaria

Family Medicine/Medicina general para la familia - Washington County

Family Medicine/ Medicina general para la familia

cont.

Washington County cont.

Owens, Crystal D, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Sandersville Community

Health Center 616 Ferncrest Drive Sandersville, GA 31082 478-552-1620

0 M-99 Y Mon: 8:30 AM - 7:00 PM,

Tue-Thur: 8:30 AM - 5:00 PM, Fri: 8:30 AM - 1:30 PM, Sat-Sun: Closed

Owens, Crystal D, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Tennille Community Health

Center 116 Smith Street Tennille, GA 31089 478-552-7384

0 M-99 Y Mon: 8:30 AM - 7:00 PM,

Tue-Thur: 8:30 AM - 5:00 PM, Fri: 8:30 AM - 1:30 PM, Sat-Sun: Closed

Taylor, Earle M, MD Sex/Sexo: M Washington County Family

Practice 620 Sparta Road Sandersville, GA 31082 478-552-9000

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Wilcox County

Bloodworth, Angela M, NP Sex/Sexo: F Abbeville Primary Care 417 S Broad Street Abbeville, GA 31001 229-467-3209

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Internal Medicine/ Medicina interna

Baldwin County

Lavine, Peter G, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes FAMILY MEDICAL OF

MILLEDGEVILLE 111 Fieldstone Drive Suite 114 Milledgeville, GA 31061 478-414-1414

0 Y-100 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Bibb County

Callender, Shelley S, MD Sex/Sexo: F Health Services of Central

Georgia 840 Pine Street Suite 750 Macon, GA 31201 478-633-1458

0 Y-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Callender, Shelley S, MD Sex/Sexo: F Health Services of Central

Georgia 840 Pine Street Suite 900 Macon, GA 31201 478-633-8682

0 Y-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Ertle, Justin T, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Mercer Medicine 1327 Stadium Drive Macon, GA 31207 478-301-5801

0 M-99 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Ertle, Justin T, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Mercer Medicine 1550 College Street Macon, GA 31207 478-301-4111

0 M-99 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Ertle, Justin T, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Mercer Medicine 764 Pine Street Macon, GA 31210 478-301-5801

0 M-99 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Ertle, Justin T, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes The Corporation of Mercer

University dba Mercer Medicine 250 Martin Luther King Jr Boulevard Macon, GA 31201 478-301-4111

0 M-99 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Henderson IV, John H, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Mercer Medicine 1327 Stadium Drive Macon, GA 31207 478-301-5801

0 M-99 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Henderson IV, John H, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Mercer Medicine 1550 College Street Macon, GA 31207 478-301-4111

0 M-99 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Henderson IV, John H, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Mercer Medicine 764 Pine Street Macon, GA 31210 478-301-5801

0 M-99 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Henderson IV, John H, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes The Corporation of Mercer

University dba Mercer Medicine 250 Martin Luther King Jr Boulevard Macon, GA 31201 478-301-4111

0 M-99 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Mohan, Palghat V, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Avilys LLC 2300 Northside Crossing Suite B Macon, GA 31210 855-288-4597

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Peavy, Jessica E, FNP Sex/Sexo: F Georgia Spine & Orthopedics

LLC 310 Hospital Drive Building B

Suite 210 Macon, GA 31217 478-719-8895

0 M-21 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Crisp County

Stevens, Richard L, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Stevens Health Services 201 E 16th Avenue Cordele, GA 31015 229-273-9939

0 Y-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Dodge County

Salvat, Oscar H, MD Sex/Sexo: M Eastman Medical Center 1111 Griffin Avenue Suite A and B Eastman, GA 31023 478-374-0020 *Spanish

0 Y-99 Y Mon-Fri: 8:30 AM - 7:00 PM,

Sat-Sun: Closed

Greene County

Lavine, Peter G, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Family Medical of Lake

Oconee 1041 Park Drive Greensboro, GA 30642 706-453-4945

0 Y-100 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Lavine, Peter G, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Tendercare Women's Center 1040 Park Drive Greensboro, GA 30642 706-453-4945

0 Y-100 Y Female only/Mujeres solamente Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: Closed

Houston County

Peavy, Jessica E, FNP Sex/Sexo: F Georgia Spine & Orthopedics

LLC 237 Smithville Church Road Suite 100 Warner Robins, GA 31088 478-719-8895

0 M-21 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Peavy, Jessica E, FNP Sex/Sexo: F Georgia Spine & Orthopedics

LLC 305 Osigian Boulevard Warner Robins, GA 31088 478-719-8895

0 M-21 Y Mon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Patient Centered Medical Home -- NCQA Certified.

Telehealth Telehealth participant (receiving sites). The receiving site is where the doctor on the telehealth screen is located.

Telehealth Participante en Telehealth (sitios receptores). El sitio receptor es donde el me? dico en la pantalla de Telehealth esta?

ubicado.

Telemedicine Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit.

Telemedicine Participante en telemedicine (sitio de presentacio? n). Un sitio de presentacio? n es donde el miembro va para una visita

de telehealth.

Established patients only/Los pacientes establecidos so? lo

Not accepting new patients/No aceptando nuevos a pacientes

Restrictions/Restricciones

*Language(s) spoken other than English/Idiomas adema? s de ingle? s

Facility can accommodate wheelchairs/La instalacio? n puede acomodar sillas de ruedas

Mon/lun

Tues/mar

Wed/mie? r

Thurs/jue

Fri/vier

Sat/sa? b

Sun/dom

6

Primary Care Providers/Proveedores de atencio? n primaria

Internal Medicine/Medicina interna - Houston County

Internal Medicine/ Medicina interna

cont.

Houston County

cont.

Williamson, Thomas H, MD Sex/Sexo: M Perry Convenient Care 277 Perry Parkway Suite C Perry, GA 31069 478-988-6087

0 Y-99 Y Mon-Sun: 9:00 AM - 8:00

PM

Laurens County

Lolabhattu, Raghu N, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Middle Georgia Internal

Medicine 101 Mercer Drive Suite B Dublin, GA 31021 478-272-2599

18 Y-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Richmond County

Chao, Andrew W, MD Sex/Sexo: M AU Medical Associates 1120 15th Street Augusta, GA 30912 706-721-4588

0 M-99 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Presnell, Richard W, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Neighborhood Imrovement

Project Inc 3623 J Dewey Gray Circle Suite 107 Augusta, GA 30909 706-922-7400

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: Closed

Pediatrics/ Pediatr?ia

Bibb County

Payne, Donna M, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Primary Peds Of Macon 550 Professional Drive Macon, GA 31201 478-741-3007

0 M-16 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Chattahoochee County

Cassel, Krista, APRN Sex/Sexo: F Chattahoochee Education

Center Clinic 140 Merrell Street Cusseta, GA 31805 508-836-3663

0 M-21 Y Mon-Fri: 7:00 AM - 3:30 PM,

Sat-Sun: Closed

Cassel, Krista, APRN Sex/Sexo: F Cusseta Medical Center 298 US Highway 520 Cusseta, GA 31805 706-989-1050

0 M-21 Y Mon-Fri: 8:30 AM - 5:00 PM,

Sat-Sun: Closed

Dodge County

Cruz Martinez, Drisdre I, MD

Sex/Sexo: F Middle Georgia Pediatrics 817 Griffin Avenue Eastman, GA 31023 478-374-1801

0 M-21 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Jones County

Okechukwu, Nkechi, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Community Health Care

Systems Inc - Jones 4292 Gray Highway Gray, GA 31032 478-986-2500

0 M-18 Y Mon: 8:30 AM - 7:00 PM,

Tue-Thur: 8:30 AM - 5:00 PM, Fri: 8:30 AM - 1:30 PM, Sat-Sun: Closed

McDuffie County

Allen, Mary J, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Family Care Group of

Thomson Inc 315 Fluker Street Thomson, GA 30824 706-595-1090

0 M-21 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Muscogee County

Atkinson III, Theodore E, MD

Sex/Sexo: M Zoe Center for Pediatric and

Adolescent Health LLC 959 17th Street Columbus, GA 31901 706-938-0990

0 Y-21 Y Mon-Fri: 8:00 AM - 6:00 PM,

Sat-Sun: Closed

Atkinson III, Theodore E, MD

Sex/Sexo: M Zoe Center for Pediatrics

and Adolescents Health LLC 3031 Williams Road Columbus, GA 31909 706-938-0990

0 Y-21 Y Mon-Fri: 8:00 AM - 6:00 PM,

Sat-Sun: Closed

Basilio, Feoderis, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes I Basilio MD PC 104 14th Street Columbus, GA 31901 706-507-5437

0 M-21 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Cheek, Kathryn K, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Rivertown Pediatrics Pc 2416 Capstone Court Columbus, GA 31909 706-327-1281

1 Y-18 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Debrah Siriboe, Stella A, MD

Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Zoe Center for Pediatric and

Adolescent Health LLC 959 17th Street Columbus, GA 31901 706-938-0990

0 Y-21 Y Mon-Fri: 8:00 AM - 6:00 PM,

Sat-Sun: Closed

Debrah Siriboe, Stella A, MD

Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Zoe Center for Pediatrics

and Adolescents Health LLC 3031 Williams Road Columbus, GA 31909 706-938-0990

0 Y-21 Y Mon-Fri: 8:00 AM - 6:00 PM,

Sat-Sun: Closed

Debrah Siriboe, Stella A, MD

Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Zoe Pediatrics After Hours

Care Inc 3033 Williams Road Columbus, GA 31909 706-221-7139

0 Y-21 Y Mon-Fri: 8:00 AM - 6:00 PM,

Sat-Sun: Closed

Oliver, Mark C, MD Sex/Sexo: M Board Certified/Certificado

por la Junta: Yes Rivertown Pediatrics Pc 2416 Capstone Court Columbus, GA 31909 706-327-1281

0 M-21 Y Mon-Fri: 6:00 PM - 9:30 PM,

Sat-Sun: 1:00 PM - 8:30 PM

Roberts, Kathleen T, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Rivertown Pediatrics Pc 2416 Capstone Court Columbus, GA 31909 706-327-1281

0 M-18 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Smith, Brently T, PA Sex/Sexo: M Rivertown Pediatrics Pc 2416 Capstone Court Columbus, GA 31909 706-327-1281

0 M-18 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Richmond County

Williford, Kathryn, MD Sex/Sexo: F Board Certified/Certificado

por la Junta: Yes Neighborhood Imrovement

Project Inc 3623 J Dewey Gray Circle Suite 107 Augusta, GA 30909 706-922-7400 *Spanish

0 M-21 Y Mon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Upson County

Atkinson III, Theodore E, MD

Sex/Sexo: M Zoe Center for Pediatric and

Adolescent Health LLC 210 Hannahs Mill Road Thomaston, GA 30286 706-938-0990

0 Y-21 Y Mon-Fri: 8:00 AM - 6:00 PM,

Sat-Sun: Closed

Patient Centered Medical Home -- NCQA Certified.

Telehealth Telehealth participant (receiving sites). The receiving site is where the doctor on the telehealth screen is located.

Telehealth Participante en Telehealth (sitios receptores). El sitio receptor es donde el me? dico en la pantalla de Telehealth esta?

ubicado.

Telemedicine Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit.

Telemedicine Participante en telemedicine (sitio de presentacio? n). Un sitio de presentacio? n es donde el miembro va para una visita

de telehealth.

Established patients only/Los pacientes establecidos so? lo

Not accepting new patients/No aceptando nuevos a pacientes

Restrictions/Restricciones

*Language(s) spoken other than English/Idiomas adema? s de ingle? s

Facility can accommodate wheelchairs/La instalacio? n puede acomodar sillas de ruedas

Mon/lun

Tues/mar

Wed/mie? r

Thurs/jue

Fri/vier

Sat/sa? b

Sun/dom

7

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