MEDICARE: MIDDLE GEORGIA HEALTH CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	177F00000X	Lodging Provider
2	251F00000X	Home Infusion Agency
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1053822742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDDLE GEORGIA HEALTH CARE

Provider Business Mailing Address
First Line	:	610 HARDEMAN AVE
Second Line	:
City	:	FORT VALLEY
State	:	GA
Zip	:	31030-3438
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 HARDEMAN AVE
Second Line	:
City	:	FORT VALLEY
State	:	GA
Zip	:	31030-3438
Country	:	US
Telephone Number	:	229-395-6949
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. DAPHNE YOUNG-PETERSON
Credential	:
Telephone Number	:	229-395-6949

Provider Enumeration Date	:	10/20/2017
Last Update Date	:	10/20/2017

Similar Medicare Providers

1376100321 — MR. ROBERT DENNIS JR.
Practice Location Address:

608 HARDEMAN AVE
FORT VALLEY, GA
31030-3438

Practice Phone: 478-957-8447
Practice Fax:

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1154711885 — PUBLIX SUPER MARKETS INC
Practice Location Address:

3500 DAVIE BLVD
FORT LAUDERDALE, FL
33312-3438

Practice Phone: 954-587-2130
Practice Fax: 954-880-3628

1265061162 — DR. WHITNEY ALLURA GREEN MD
Practice Location Address:

1ST FLOOR CLINIC MALL , 2817 ROCK MERRITT AVE
FORT LIBERTY, NC
38103-3438

Practice Phone: 910-907-8500
Practice Fax:

1033116108 — LOUISE C RITZ NP
Practice Location Address:

12524 SUNRISE VALLEY DR
RESTON, VA
20191-3438

Practice Phone: 703-689-2180
Practice Fax: 703-481-3853

1225275670 — LESLIE C BROWN LBSW
Practice Location Address:

401 N VALLEY PKWY , SUITE 380
LEWISVILLE, TX
75067-3438

Practice Phone: 972-353-5437
Practice Fax:

Directions to “MIDDLE GEORGIA HEALTH CARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.