MEDICARE: MEDICAL ASSOCIATES OF ALBANY, P.C.

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
2	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CD3696	OTHER	GA	RAILROAD MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952396665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ASSOCIATES OF ALBANY, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 505
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31702-0505
Country	:	US
Telephone Number	:	229-889-9367
Fax Number	:	229-317-0678

Provider Business Practice Location Address
First Line	:	101 OAKLAND CROSSING DR
Second Line	:
City	:	LEESBURG
State	:	GA
Zip	:	31763-7228
Country	:	US
Telephone Number	:	229-432-1440
Fax Number	:	229-889-8263

Authorized Official
Title or Position	:	MEDICARE AR
Name	:	SANDRA C ASHBERRY
Credential	:
Telephone Number	:	229-889-9367

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	02/20/2019

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Directions to “MEDICAL ASSOCIATES OF ALBANY, P.C. ” Practice Location

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