MEDICARE: DR. LINDA ALICE BARTLETT MD, MHSC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	104965	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	321872	OTHER	NY	LICENSE
2	104965	OTHER	GA	GA MEDICAL LICENSE

General Provider Information

NPI Number	:	1255169173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA ALICE BARTLETT MD, MHSC.

Provider Business Mailing Address
First Line	:	PO BOX 2510
Second Line	:
City	:	EVANS
State	:	GA
Zip	:	30809-2510
Country	:	US
Telephone Number	:	706-922-8274
Fax Number	:

Provider Business Practice Location Address
First Line	:	254 FURYS FERRY RD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30907-3118
Country	:	US
Telephone Number	:	706-986-0999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	04/21/2026

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