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Page 1: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)
Page 2: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

1

TABLE OF CONTENTS

Page

Primary Care Providers ........................................................................ 3

Specialists ........................................................................................... 11

Self-Referred Service Providers ........................................................ 35Federally Qualified Health Centers (FQHCs) ............................ 35Rural Health Centers (RHCs) ..................................................... 37Clinic ............................................................................................ 38Mental Health/Substance Abuse ............................................... 39Routine Dental Services ............................................................. 40Routine Vision Services .............................................................. 41

Ancillary ............................................................................................... 43

Pharmacy ............................................................................................ 44

Index .................................................................................................... 45

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 TDD/TTY 1-800-255-0056 for the most current provider information. 03/2020

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 Plan03/2020

Page 3: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

2

TABLA DE CONTENIDOS

Página

Proveedores de atención primaria...................................................... 3

Especialistas ....................................................................................... 11

Proveedores de servicios con autoreferencia ................................. 35Centros de salud certificados por el gobierno federal ........... 35Centro de salud rurales .............................................................. 37Clínica .......................................................................................... 38Salud mental y abuso de sustancias químicas ........................ 39Servicios dentales de rutina ...................................................... 40Servicios de la vista de rutina .................................................... 41

Auxiliar ................................................................................................. 43

Farmacia .............................................................................................. 44

Índice ................................................................................................... 45

OBSERVACIÓN: La información en este directorio era precisa al momento de publicación. Desde ese momento, pueden haber ocurrido cambios que podrían afectar la información. Llame a la línea de servicios a los miembros al 1-800-704-1484 o a la línea TDD/TTY para personas con problemas de audición al 1-800-255-0056 para obtener la información más actualizada de los proveedores. 03/2020

Este directorio está actualizado a la fecha que se indica en el pie de página. La inclusión de un proveedor en el directorio no garantiza que el proveedor siga en la red o que esté aceptando a miembros nuevos.

Peach State Health Plan03/2020

Page 4: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

3

Family Medicine/Medicina general para la familia – Aiken County

Primary Care Providers/Proveedores de atención primaria

Family Medicine/Medicina general para la familiaAiken CountyBlount, Kelly, PASex/Sexo: F3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Blount, Kelly, PASex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Blount, Kelly, PASex/Sexo: F107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Blount, Kelly, PASex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Mathis, Byron, PASex/Sexo: M325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

0 Y-99 Y

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

Mathis, Byron, PASex/Sexo: M107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Mathis, Byron, PASex/Sexo: M325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Mathis, Byron, PASex/Sexo: M3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Mathis, Byron, PASex/Sexo: M1021 Silver Bluff RoadAiken, SC 29803803-648-0587

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

Sat-Sun: Closed

Nix, Ashley, FNPSex/Sexo: F3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Nix, Ashley, FNPSex/Sexo: F1021 Silver Bluff RoadAiken, SC 29803803-648-0587

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

Sat-Sun: Closed

Nix, Ashley, FNPSex/Sexo: F107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Nix, Ashley, FNPSex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Nix, Ashley, FNPSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

0 Y-99 Y

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

Patel, Falguni, PASex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

0 Y-99 Y

Mon-Fri: 8:30 AM - 7:30 PM, Sat: 9:00 AM - 3:00 PM, Sun: Closed

Powell, Alison, NPSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Powell, Alison, NPSex/Sexo: F107 Walnut LaneSuite 101North Augusta, SC 29860803-202-3351

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

Sat-Sun: Closed

Rivera, Sallie, NPSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Rivera, Sallie, NPSex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

0 Y-99 Y

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

Smith, Mary, FNPSex/Sexo: F309 West AvenueNorth Augusta, SC 29841803-279-3133

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 12:30 PM, Sat-Sun: Closed

Williams, Mariah, PASex/Sexo: F107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Williams, Mariah, PASex/Sexo: F107 Walnut LaneSuite 101North Augusta, SC 29860803-202-3351

0 Y-99 Y

Mon-Thur: 8:00 AM - 5:00 PM, Fri: 8:00 AM - 12:30 PM, Sat-Sun: Closed

Youmans, Stephen C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes934 Dougherty RoadAiken, SC 29803803-643-0588

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

Sat-Sun: Closed

Bibb CountyBush iii III, Stanley S, MDSex/Sexo: M1508 B Hardeman AvenueMacon, GA 31201478-741-7337

0 Y-19 Y

Mon-Fri: 8:00 AM - 8:00 PM, Sat: 10:00 AM - 3:00 PM, Sun: 12:00 PM - 3:00 PM

Turullols, Sylvia D, MDSex/Sexo: F3400 Riverside DriveMacon, GA 31210478-474-5600

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

Sat-Sun: Closed

Turullols, Sylvia D, MDSex/Sexo: F5925 Zebulon RoadMacon, GA 31210478-757-7865

0 Y-99 YMon-Sun: 9:00 AM - 5:00 PM

Bleckley CountyGraham, Sherri J, FNPSex/Sexo: F148 East Peacock StreetCochran, GA 31014478-934-4988

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

Sat-Sun: Closed

Burke CountyJackson, Joseph L, MDSex/Sexo: M305 Jones AvenueWaynesboro, GA 30830706-554-5147

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

Sat-Sun: Closed

Columbia CountyBlount, Kelly, PASex/Sexo: F465 North Belair RoadSuite 2BEvans, GA 30809706-774-7400

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

Sat-Sun: Closed

Blount, Kelly, PASex/Sexo: F925 Branch CourtSuite 201Grovetown, GA 30813706-396-3570

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

Sat-Sun: Closed

Blount, Kelly, PASex/Sexo: F447 North Belair RoadSuite 104Evans, GA 30809706-854-2180

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

Sat-Sun: Closed

Page 5: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

4

Family Medicine/Medicina general para la familia – Columbia County

Primary Care Providers/Proveedores de atención primaria

Family Medicine/Medicina general para la familia cont.

Columbia County cont.Blount, Kelly, PASex/Sexo: F447 N Belair Road101Evans, GA 30809706-854-2222

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

Sat-Sun: Closed

Blount, Kelly, PASex/Sexo: F4720 Washington RoadEvans, GA 30809706-650-1111

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

Sat-Sun: Closed

Blount, Kelly, PASex/Sexo: F925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Sat-Sun: Closed

Bradish, Vanessa, FNPSex/Sexo: F465 North Belair RoadSuite 2BEvans, GA 30809706-774-7400

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

Sat-Sun: Closed

Patel, Falguni, PASex/Sexo: F447 North Belair RoadSuite 101Evans, GA 30809706-854-2222

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

Sat-Sun: Closed

Patel, Falguni, PASex/Sexo: F4720 Washington RoadEvans, GA 30809706-650-0111

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

Sat-Sun: Closed

Patel, Falguni, PASex/Sexo: F925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Sat-Sun: Closed

Wallentine, Brett, MDSex/Sexo: M800 Oakhurst DriveEvans, GA 30809706-364-5500

0 Y-99 YMon-Thur: 9:00 AM - 6:00

PM, Fri: 9:00 AM - 12:00 PM, Sat-Sun: Closed

Whitwell, Shannon, NPSex/Sexo: F447 North Belair RoadSuite 104Evans, GA 30809706-854-2222

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

Sat-Sun: Closed

Whitwell, Shannon, NPSex/Sexo: F465 North Belair RoadSuite 2BEvans, GA 30809706-774-7400

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

Sat-Sun: Closed

Whitwell, Shannon, NPSex/Sexo: F925 Branch CourtSuite 201Grovetown, GA 30813706-396-1451

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

Sat-Sun: Closed

Whitwell, Shannon, NPSex/Sexo: F1100 West Lake Commons

DriveMartinez, GA 30907706-228-2565

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

Sat-Sun: Closed

Crisp CountyAnderson, Geraldine J,

FNPSex/Sexo: F216 Hospital DriveCordele, GA 31015229-276-2000

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

Sat-Sun: Closed

Dodge CountyCravey, Amy E, NPSex/Sexo: F911 Plaza AvenueSuite CEastman, GA 31023478-374-5774

Mon-Sun: 8:00 AM - 5:00 PM

Emanuel CountyClifton, James D, DOSex/Sexo: M305 Kite RoadSwainsboro, GA 30401478-237-2144

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

Sat-Sun: Closed

Ray, James L, MDSex/Sexo: M401 W Main StreetSwainsboro, GA 30401478-237-9928

0 M-99 YMon-Sat: 8:00 AM - 5:00

PM, Sun : Closed

Houston CountyWilson, Walter S, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes129 Carl Vinson ParkwayWarner Robins, GA 31088478-322-3800*Spanish

0 M-100 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Wilson, Walter S, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes129 Carl Vinson ParkwayWarner Robins, GA 31088478-322-3800*Spanish

0 M-99 Y

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

Jefferson CountyChristian, Johnny, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes406 E Broad StreetWrens, GA 30833706-547-7008

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

Sat-Sun: Closed

Jackson, Joseph L, MDSex/Sexo: M406 E Broad StreetWrens, GA 30833706-554-5147

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

Sat-Sun: Closed

Jenkins CountyChandra, Prakul, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes961 East Winthrope AvenueMillen, GA 30442478-982-0120

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

Sat-Sun: Closed

Lamar CountyWilson, Terri M, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes101 Houston StreetBarnesville, GA 30204770-358-1961

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

Sat-Sun: Closed

Lincoln CountySheppard, James C, MDSex/Sexo: M123 North Washington StreetLincolnton, GA 30817706-359-6070

0 Y-100 Y

Mon-Fri: 8:00 AM - 5:00 PM, Sat: Open 24 Hours, Sun: Closed

McDuffie CountySheppard, James C, MDSex/Sexo: M2508 University DriveThomson, GA 30824706-595-1090

0 Y-100 Y

Mon-Fri: 8:00 AM - 5:00 PM, Sat: Open 24 Hours, Sun: Closed

Sheppard, James C, MDSex/Sexo: M315 Fluker StreetThomson, GA 30824706-595-1090

0 M-99 Y

Mon-Fri: 7:00 AM - 5:00 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Wiley, Daryl C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes2508 University DriveThomson, GA 30824706-595-1090

0 Y-100 Y

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

Muscogee CountyEdwards, Miranda, MDSex/Sexo: F2301 Brookstone Centre

ParkwaySuite 200Columbus, GA 31904706-243-2900

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

Sat-Sun: Closed

Jones SR, Jefferson C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes2000 10th AvenueSuite 380Columbus, GA 31901706-660-2932

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

Sat-Sun: Closed

Page 6: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Family Medicine/Medicina general para la familia – Muscogee County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

5

Primary Care Providers/Proveedores de atención primaria

Family Medicine/Medicina general para la familia cont.

Muscogee County cont.Kumar, Geetanjali, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1800 10th AvenueSuite 100Columbus, GA 31901706-571-1120

0 Y-99 YMon-Fri: 8:00 AM - 4:30 PM,

Sat-Sun: Closed

Whitten, William Allen, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes850 Brookstone Centre

ParkwaySuite 200Columbus, GA 31904706-507-4243

0 Y-99 YMon-Thur: 8:00 AM - 5:00

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

Peach CountyEarly SR, Michael W, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes201 Avera DriveFort Valley, GA 31030478-825-3317

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Putnam CountyJones, Susan L, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes952 Lake Oconee ParkwayEatonton, GA 31024706-485-0880

Mon-Thur: 8:00 AM - 5:00

PM, Fri: 9:00 AM - 12:00 PM, Sat-Sun: Closed

Richmond CountyBailey, Sara, PASex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

0 Y-99 Y

Mon-Fri: 8:00 AM - 7:00 PM, Sat-Sun: 9:00 AM - 3:00 PM

Blount, Kelly, PASex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

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

Sat-Sun: Closed

Blount, Kelly, PASex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

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

Sat-Sun: Closed

Blount, Kelly, PASex/Sexo: F3486 Peach Orchard RoadSuite 100Augusta, GA 30906706-828-8000

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

Sat-Sun: Closed

Bradish, Vanessa, FNPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Patel, Falguni, PASex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8000

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

Sat-Sun: Closed

Whitwell, Shannon, NPSex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

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

Sat-Sun: Closed

Whitwell, Shannon, NPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

0 Y-99 Y

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

Whitwell, Shannon, NPSex/Sexo: F3486 Peach Orchard RoadSuite 100Augusta, GA 30906706-828-8000

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

Sat-Sun: Closed

Russell CountyZumstein, James, MDSex/Sexo: M1810 Stadium DriveSuite 230Phenix City, AL 36867334-664-0219

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Troup CountyWortham, Candace H, NPSex/Sexo: F1514 Vernon RoadLagrange, GA 30240706-882-1411

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

Sat-Sun: Closed

General Practice/Medicina generalAiken CountySherwood, Bozeman K, MDSex/Sexo: M325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: 9:00 AM - 3:00 PM

Sherwood, Bozeman K, MDSex/Sexo: M107 Walnut LaneSuite 101North Augusta, SC 29860803-202-3351

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

Sat-Sun: Open 24 Hours

Internal Medicine/Medicina internaAiken CountyCrosby, Joseph, PASex/Sexo: M3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Crosby, Joseph, PASex/Sexo: M325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat: 9:00 AM - 3:00 PM, Sun: Closed

Lemke, Jimmy V, MDSex/Sexo: M325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: 9:00 AM - 3:00 PM

Morris, Stephanie, APRNSex/Sexo: F309 West AvenueNorth Augusta, SC 29841803-279-1412

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

Sat-Sun: Closed

Morris, Stephanie, APRNSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

0 Y-99 Y

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

Richardson, Elizabeth, PASex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

0 Y-99 Y

Mon-Thur: 8:00 AM - 5:00 PM, Fri: 8:00 AM - 12:30 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Richardson, Elizabeth, PASex/Sexo: F107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Richardson, Elizabeth, PASex/Sexo: F3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Richardson, Elizabeth, PASex/Sexo: F1021 Silver Bluff RoadAiken, SC 29803803-648-0587

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

Sat-Sun: Closed

Page 7: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

6

Internal Medicine/Medicina interna – Aiken County

Primary Care Providers/Proveedores de atención primaria

Internal Medicine/Medicina interna cont.

Aiken County cont.Richardson, Elizabeth, PASex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Baldwin CountyVarghese, Benoy, MDSex/Sexo: M679 W Martin Luther KingMilledgeville, GA 31061478-254-2644

18 Y-120 YMon-Thur: 8:30 AM - 5:00

PM, Fri: 8:30 AM - 2:00 PM, Sat-Sun: Closed

Bibb CountyVarghese, Benoy, MDSex/Sexo: M6070 Lakeside Commons

DriveMacon, GA 31210478-254-2644

18 Y-120 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Columbia CountyCrosby, Joseph, PASex/Sexo: M925 Branch CourtSuite 201Grovetown, GA 30813706-396-1451

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

Sat: 9:00 AM - 3:00 PM, Sun: Closed

Crosby, Joseph, PASex/Sexo: M465 North Belair RoadSuite 2BEvans, GA 30809706-774-7400

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 12:30 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Crosby, Joseph, PASex/Sexo: M925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Sat-Sun: 9:00 AM - 3:00 PM

Henson, Christopher E, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes447 North Belair RoadEvans, GA 30809706-854-2222

0 Y-99 Y

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

Lemke, Jimmy V, MDSex/Sexo: M447 North Belair RoadSuite 101Evans, GA 30809706-854-2222

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

Sat-Sun: Closed

Lemke, Jimmy V, MDSex/Sexo: M925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedThomas, Ashli, NPSex/Sexo: F465 North Belair RoadSuite 2BEvans, GA 30809706-774-7400

0 Y-99 Y

Mon-Thur: 8:00 AM - 5:00 PM, Fri: 8:00 AM - 12:30 PM, Sat-Sun: Closed

Crisp CountyStevens, Richard L, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes201 E 16th AvenueCordele, GA 31015229-273-8501

18 Y-99 YMon-Thur: 8:00 AM - 4:00

PM, Fri: 8:00 AM - 11:30 AM, Sat-Sun: Closed

Dodge CountyPeacock, Michael T, MDSex/Sexo: M911 Plaza AvenueSuite CEastman, GA 31023478-374-5774

0 Y-120 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Varghese, Benoy, MDSex/Sexo: M107 College StreetEastman, GA 31023478-254-2644

18 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Houston CountyTayag, Maria, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1743 Watson BoulevardSuite BWarner Robins, GA 31093478-929-2909

0 Y-99 Y

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

Varghese, Benoy, MDSex/Sexo: M312 Margie DriveWarner Robins, GA 31088478-254-2644

18 Y-120 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Varghese, Benoy, MDSex/Sexo: M1570 Watson BoulevardWarner Robins, GA 31093478-254-2644

18 Y-120 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Lamar CountyCunningham, William E, MDSex/Sexo: M101 Commerce PlaceSuite 1Barnesville, GA 30204770-358-4408

0 M-99 YMon: 8:00 AM - 5:00 PM,

Tue: 11:00 AM - 7:00 PM, Wed: 8:00 AM - 5:00 PM, Thur: 9:00 AM - 6:00 PM, Fri: 8:00 AM - 12:00 PM, Sat-Sun: Closed

Laurens CountyVarghese, Benoy, MDSex/Sexo: M112 Corporate SquareDublin, GA 31021478-254-2644

18 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Lincoln CountySheppard, James C, MDSex/Sexo: M123 North Washington StreetLincolnton, GA 30817706-359-6070

0 Y-100 Y

Mon-Fri: 8:00 AM - 5:00 PM, Sat: Open 24 Hours, Sun: Closed

McDuffie CountySheppard, James C, MDSex/Sexo: M2508 University DriveThomson, GA 30824706-595-1090

0 Y-100 Y

Mon-Fri: 8:00 AM - 5:00 PM, Sat: Open 24 Hours, Sun: Closed

Sheppard, James C, MDSex/Sexo: M315 Fluker StreetThomson, GA 30824706-595-1090

0 M-99 Y

Mon-Fri: 7:00 AM - 5:00 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Muscogee CountyBuchanan, Michelle E, NPSex/Sexo: F3465 Macon RoadSuite DColumbus, GA 31907706-243-3051

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

Sat-Sun: Closed

Buchanan, Michelle E, NPSex/Sexo: F610 19th StreetColumbus, GA 31901706-322-7884

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

Sat-Sun: Closed

Desai, Nitin R, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes2410 Double Churches RoadSuite AColumbus, GA 31909706-653-6344

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Richmond CountyAtkinson, Ashley, FNPSex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

0 Y-99 Y

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

Cofer, Hannah, FNPSex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

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

Sat-Sun: Closed

Cofer, Hannah, FNPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

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

Sat-Sun: 9:00 AM - 3:00 PM

Etinge, Bie M, DOSex/Sexo: F1115 Garredd BoulevardAugusta, GA 30909706-738-2605

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

Sat-Sun: Closed

Kelly, Patrick, MDSex/Sexo: M127 Telfair StreetAugusta, GA 30901706-922-0600

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

Sat-Sun: Closed

Page 8: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Internal Medicine/Medicina interna – Richmond County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

7

Primary Care Providers/Proveedores de atención primaria

Internal Medicine/Medicina interna cont.

Richmond County cont.Kelly, Patrick, MDSex/Sexo: M1226 D Antignac StreetAugusta, GA 30901706-922-0600

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

Sat-Sun: Closed

Lawson, Jamie W, DOSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Meagher, Lindsey, FNPSex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

0 Y-99 Y

Mon-Thur: 8:00 AM - 5:00 PM, Fri: 8:00 AM - 3:00 PM, Sat-Sun: Closed

Neumann, William, MDSex/Sexo: M1443 Anthony RoadAugusta, GA 30909706-733-4823

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

Sat-Sun: Closed

Newman, Danny, MDSex/Sexo: M1443 Anthony RoadAugusta, GA 30909706-733-4823

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

Sat-Sun: Closed

Phanthok, Tenzing, MDSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Wang, Sheng Yi, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075*Chinese, Spanish

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

Sat-Sun: Closed

Upson CountyFuseell, Corey, MDSex/Sexo: M915 West Gordon StreetThomaston, GA 30286706-647-7009

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

Sat-Sun: Closed

Nurse Practitioner: Family/Enfermero(a) practicante: FamiliaAiken CountyNix, Ashley, FNPSex/Sexo: F1021 Silver Bluff RoadAiken, SC 29803803-648-0587

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

Sat-Sun: Closed

Nix, Ashley, FNPSex/Sexo: F3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Nix, Ashley, FNPSex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Nix, Ashley, FNPSex/Sexo: F107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Nix, Ashley, FNPSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

0 Y-99 Y

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

Rivera, Sallie, NPSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

0 Y-99 Y

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

Rivera, Sallie, NPSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Smith, Mary, FNPSex/Sexo: F309 West AvenueNorth Augusta, SC 29841803-279-3133

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 12:30 PM, Sat-Sun: Closed

Bleckley CountyGraham, Sherri J, FNPSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes148 East Peacock StreetCochran, GA 31014478-934-4988

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

Sat-Sun: Closed

Columbia CountyBradish, Vanessa, FNPSex/Sexo: F465 North Belair RoadSuite 2BEvans, GA 30809706-774-7400

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

Sat-Sun: Closed

Dodge CountyCravey, Amy E, NPSex/Sexo: F911 Plaza AvenueSuite CEastman, GA 31023478-374-5774

Mon-Sun: 8:00 AM - 5:00 PM

Houston CountyTate, Stefanie S, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Wilcox, Stephanie A, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

McDuffie CountyTalkington, Emily N, NPSex/Sexo: F2508 University DriveThomson, GA 30824706-595-1090

0 Y-99 Y

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

Richmond CountyAtkinson, Ashley, FNPSex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

0 Y-99 Y

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

Beasley, Erinn N, FNPSex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

0 Y-99 Y

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

Bradish, Vanessa, FNPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Cofer, Hannah, FNPSex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

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

Sat-Sun: Closed

Cofer, Hannah, FNPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

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

Sat-Sun: 9:00 AM - 3:00 PM

Foreman, Chiquita, NPSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1120 15th StreetAugusta, GA 30912706-721-3042

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Page 9: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

8

Nurse Practitioner: Family/Enfermero(a) practicante: Familia – Richmond County

Primary Care Providers/Proveedores de atención primaria

Nurse Practitioner: Family/Enfermero(a) practicante: Familia cont.

Richmond County cont.Meagher, Lindsey, FNPSex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

0 Y-99 Y

Mon-Thur: 8:00 AM - 5:00 PM, Fri: 8:00 AM - 3:00 PM, Sat-Sun: Closed

Washington CountyMcclarin, Gina N, FNPSex/Sexo: F601 Ferncrest DriveSuite ASandersville, GA 31082478-552-0006

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

Sat-Sun: Closed

Mcclarin, Gina N, FNPSex/Sexo: F610 Ferncrest DriveSuite ASandersville, GA 31082478-552-9000

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

Sat-Sun: Closed

Nurse Practitioner: Pediatrics/Enfermero(a) practicante: PediatríaEmanuel CountyTaylor, Delisha B, NPSex/Sexo: F215 N Coleman StreetSwainsboro, GA 30401478-237-2638

0 Y-21 YMon: 8:00 AM - 7:00 PM,

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

Houston CountyCampbell, Jennifer M s, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Dixon-milner, Joni R, NPSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Lowery, Lori S, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Purcell, Kimberly S, NPSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes104 Bluff ChaseBonaire, GA 31005478-741-3007

0 Y-18 YMon-Fri: 12:00 PM - 8:00

PM, Sat-Sun: Closed

Roberts, Jo B, NPSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Smith, Carrie L, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Tate, Stefanie S, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Yawn, Julia E, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Nurse Practitioner: Primary Care/Enfermero(a) practicante: Atención primariaAiken CountyMorris, Stephanie, APRNSex/Sexo: F309 West AvenueNorth Augusta, SC 29841803-279-1412

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

Sat-Sun: Closed

Morris, Stephanie, APRNSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

0 Y-99 Y

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

Obstetrics & Gynecology/Obstetricia y ginecologíaBibb CountyGray JR, W Wilson, MDSex/Sexo: M840 Pine StreetSuite 190Macon, GA 31201478-742-0059

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

Sat-Sun: Closed

Gray JR, W Wilson, MDSex/Sexo: M840 Pine StreetSuite 910Macon, GA 31201478-742-0059

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

Sat-Sun: Closed

Jefferson CountyChristian, Johnny, MDSex/Sexo: M406 E Broad StreetWrens, GA 30833706-547-7008

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

Sat-Sun: Closed

Pediatrics/PediatríaBibb CountyBush iii III, Stanley S, MDSex/Sexo: M1508 B Hardeman AvenueMacon, GA 31201478-741-7337

0 Y-19 Y

Mon-Fri: 8:00 AM - 8:00 PM, Sat: 10:00 AM - 3:00 PM, Sun: 12:00 PM - 3:00 PM

Columbia CountyHartman, April L, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes305 West Robinson AvenueGrovetown, GA 30813706-721-8623

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

Sat-Sun: Closed

Dodge CountyRios-corujo, Walter, MDSex/Sexo: M817 Griffin AvenueEastman, GA 31023478-374-1801*Spanish

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

Sat-Sun: Closed

Emanuel CountyMachado, Claudio, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes215 N Coleman StreetSwainsboro, GA 30401478-237-2638

0 Y-21 YMon: 8:00 AM - 7:00 PM,

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

Taylor, Delisha B, NPSex/Sexo: F215 N Coleman StreetSwainsboro, GA 30401478-237-2638

0 Y-21 YMon: 8:00 AM - 7:00 PM,

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

Houston CountyBarroso, Angela R, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes233 N Houston RoadSuite 140AWarner Robins, GA 31093478-923-2843

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

Sat-Sun: Closed

Boatright, Truitt S, MDSex/Sexo: M104 Bluff ChaseBonaire, GA 31005478-741-3007

0 Y-18 YMon-Sun: 8:30 AM - 5:00 PM

Campbell, Jennifer M s, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Page 10: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Pediatrics/Pediatría – Houston County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

9

Primary Care Providers/Proveedores de atención primaria

Pediatrics/Pediatría cont.

Houston County cont.Cawley, Christopher J, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Clark, Edward K, MDSex/Sexo: M104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Dixon-milner, Joni R, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Ford, Jessica T, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Giddens, Mary, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Jones, Keilah W, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

0 Y-21 YMon: 8:30 AM - 10:00 AM,

Tue-Sun: 8:30 AM - 11:00 AM

Kacsoh, Gabriella R, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Kinnebrew, Lindsay S, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Lowery, Lori S, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Mayo, Dana L, MDSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Payne, Donna M, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes104 Bluff ChaseBonaire, GA 31005478-741-3007

0 Y-18 YMon-Sun: 8:30 AM - 11:30

PM

Purcell, Kimberly S, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

0 Y-18 YMon-Fri: 12:00 PM - 8:00

PM, Sat-Sun: Closed

Roberts, Jo B, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Slade, Lance E, MDSex/Sexo: M104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Smith, Carrie L, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Tate, Stefanie S, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Tift, William L, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Waters, Jill M, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Wilcox, Stephanie A, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Wood, Amy, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Yawn, Julia E, NPSex/Sexo: F104 Bluff ChaseBonaire, GA 31005478-741-3007

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

Sat-Sun: Closed

Jefferson CountyKinsey JR, Timothy R, MDSex/Sexo: M406 E Broad StreetWrens, GA 30833706-547-7008

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

Sat-Sun: Closed

Laurens CountyMoorman, Drew, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes104 Fairview Park DriveSuite 200Dublin, GA 31021478-304-1414

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

Sat-Sun: Closed

Muscogee CountyAlappan, Devica V, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1900 11th AvenueSuite AColumbus, GA 31901706-323-3400

0 Y-17 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Steinwachs, Paul R, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1336 3rd AvenueColumbus, GA 31901706-221-2401

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

Sat-Sun: Closed

Richmond CountyCarter, Karen L, MDSex/Sexo: F1303 Dantignac StreetSuite 2100Augusta, GA 30901706-396-0600

0 M-21 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Harris JR, Dennis H, MDSex/Sexo: M1350 Walton WayAugusta, GA 30901706-774-5795

0 Y-18 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Lawson, Jamie W, DOSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Mccutcheon, Kathryn C, MD

Sex/Sexo: F1230 Augusta West ParkwayAugusta, GA 30909706-868-0380

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

Sat-Sun: Closed

Scarborough, Charles, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1226 D Antignac StreetAugusta, GA 30901706-922-0600

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

Sat-Sun: Closed

Scoggins, Jennie B, MDSex/Sexo: F127 Telfair StreetAugusta, GA 30901706-922-0600

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

Sat-Sun: Closed

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10

Pediatrics/Pediatría – Richmond County

Primary Care Providers/Proveedores de atención primaria

Pediatrics/Pediatría cont.

Richmond County cont.Scoggins, Jennie B, MDSex/Sexo: F1226 D Antignac StreetAugusta, GA 30901706-922-0600

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

Sat-Sun: Closed

Physician Assistant/Asistente médicoDodge CountyMoore, Steven M, PASex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1223 Plaza AvenueEastman Pediatric ClinicEastman, GA 31023478-374-3814*Spanish

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

Page 12: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Advanced Practice Midwife/Partera especializada – Laurens County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

11

Specialists/Especialistas

Advanced Practice Midwife/Partera especializadaLaurens CountyNicholson, Tonya B, CNMSex/Sexo: F2400 Bellevue RoadErin Office Park 23Dublin, GA 31021478-275-1304*Spanish

12 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 4:00 PM, Sat-Sun: Closed

Allergy & Immunology: Allergy/Alergia e inmunología: AlergiaColumbia CountyPintavorn, Vanitcha R, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes340 North Belair RoadEvans, GA 30809706-868-5676*Thai

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Audiologist/AudiólogoBibb CountyBuchner, Sarah M, AUDSex/Sexo: F540 Hemlock StreetMacon, GA 31201478-743-8953

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

Sat-Sun: Closed

Cyrus, Jordan Elizabeth, AUD

Sex/Sexo: F540 Hemlock StreetMacon, GA 31201478-743-8953

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Houston CountyBuchner, Sarah M, AUDSex/Sexo: F6084 Lakeview RoadBuilding B Suite 200Warner Robins, GA 31088478-743-8953

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

Sat-Sun: Closed

Buchner, Sarah M, AUDSex/Sexo: F6084 Lakeview RoadWarner Robins, GA 31088478-743-8953

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

Sat-Sun: Closed

Muscogee CountyCellino, Alice F, AUDSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Clements, Ashley H, AUDSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Fritz, Sarah, AUDSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Hooks, Shelby, AUDSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Pennock, Rachael, AUDSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Webster, Andrea H, AUDSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Clinic/Center: Physical Therapy/Clínica/Centro: FisioterapiaCrisp CountyStewart, Stephanie WSex/Sexo: F1107 Greer StreetSuite BCordele, GA 31015229-273-9445

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

Sat-Sun: Closed

Stewart, Stephanie WSex/Sexo: F1107Suite A Greer StreetCordele, GA 31015229-273-9445

0 Y-100 YMon-Fri: 7:30 AM - 6:00 PM,

Sat-Sun: Closed

Clinical Neuro-psychologist/Neuropsicólogo clínicoRichmond CountyHertza, Jeremy B, PSYD

HSPPSex/Sexo: M997 St. Sebastian WayAugusta, GA 30912706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Colon & Rectal Surgery/Cirugía de colon y rectoEmanuel CountyGoel, Ankur, MDSex/Sexo: M120A Victory DriveSwainsboro, GA 30401478-237-3291

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Richmond CountyBaysinger, Katherine, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1348 Walton WaySuite 6500Augusta, GA 30901706-722-2118

14 Y-99 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Cheape, John Dudley, MDSex/Sexo: M1348 Walton WaySuite 6500Augusta, GA 30901706-722-2118

0 M-99 Y

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

Hooks III, Vendie, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1348 Walton WaySuite 6500Augusta, GA 30901706-722-2118

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

Sat-Sun: Closed

Jenkins, Barry J, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1348 Walton WaySuite 6500Augusta, GA 30901706-722-2118

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

Sat-Sun: Closed

Lawrence, Mallory Andrew, MD

Sex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1348 Walton WaySuite 6500Augusta, GA 30901706-722-2118

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

Sat-Sun: Closed

Dentist: Oral and Maxillofacial Surgery/Dentista: Cirugía oral y maxilofacialAiken CountyHuffman, Bradford, DMDSex/Sexo: M101 Nutgrove AvenueNorth Augusta, SC 29841803-278-2050

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

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

O’neal, Kyle, DDSSex/Sexo: M101 Nutgrove AvenueNorth Augusta, SC 29841803-278-2050

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

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

Richmond CountyAustin, Travis, DMDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1120 15th StreetAugusta, GA 30912706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Page 13: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

12

Dermatology/Dermatología – Burke County

Specialists/Especialistas

Dermatology/DermatologíaBurke CountyThakore, Morgan W, MDSex/Sexo: F480 Martin Luther King Jr

RoadSuite BKeysville, GA 30816706-790-4440

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

Sat-Sun: Closed

Columbia CountyFlorentino, Frances M, MDSex/Sexo: F1002 Williamsburg WayEvans, GA 30809706-922-3376*Spanish

0 Y-99 YMon-Fri: 8:00 AM - 4:00 PM,

Sat-Sun: Closed

Quarles, James, MDSex/Sexo: M4350 Towne Center DriveSuite 2200Evans, GA 30809706-722-0705

0 Y-99 YMon-Fri: 8:00 AM - 3:45 PM,

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

Jefferson CountyThakore, Morgan W, MDSex/Sexo: F501 Broad StreetWrens, GA 30833706-547-2559

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

Sat-Sun: Closed

Muscogee CountyLane, Joshua E, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1210 Brookstone Centre

ParkwayColumbus, GA 31904706-322-1717

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 2:00 PM, Sat-Sun: Closed

Richmond CountyMiller, Jeremiah Allan, MDSex/Sexo: M3624 J Dewey Gray CircleSuite 250Augusta, GA 30909706-922-7706

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

Sat-Sun: Closed

Rabinovitz, Harold Steven, MD

Sex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1120 15th StreetAugusta, GA 30912706-721-2426

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

Sat-Sun: Closed

Dermatology: MOHS-Micrographic Surgery/Dermatología: Cirugía micrográfica de MohsMuscogee CountyLane, Joshua E, MDSex/Sexo: M1210 Brookstone Centre

ParkwayColumbus, GA 31904706-322-1717

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 2:00 PM, Sat-Sun: Closed

Family Medicine/Medicina general para la familiaAiken CountyHeinz SR, Erich R, MDSex/Sexo: M325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: 9:00 AM - 3:00 PM

Jenkins, Millicent A, FNPSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Jenkins, Millicent A, FNPSex/Sexo: F107 Walnut LaneSuite 101North Augusta, SC 29860803-202-3351

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

Sat-Sun: Closed

Jennings, Kimberly, NPSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

0 Y-99 Y

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

Jennings, Kimberly, NPSex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Jennings, Kimberly, NPSex/Sexo: F1021 Silver Bluff RoadAiken, SC 29803803-648-0587

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

Sat-Sun: Closed

Jennings, Kimberly, NPSex/Sexo: F3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Jennings, Kimberly, NPSex/Sexo: F107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Lee, Emily, PASex/Sexo: F3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Lee, Emily, PASex/Sexo: F1021 Silver Bluff RoadAiken, SC 29803803-648-0587

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

Sat-Sun: Closed

Lee, Emily, PASex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Lee, Emily, PASex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

0 Y-99 Y

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

Lee, Emily, PASex/Sexo: F107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Reed, Lyudmila M, FNPSex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: 9:00 AM - 3:00 PM

Towner, Susan B, NPSex/Sexo: F309 West AvenueNorth Augusta, SC 29841803-279-1412

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

Sat-Sun: Closed

Towner, Susan B, NPSex/Sexo: F3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Towner, Susan B, NPSex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Towner, Susan B, NPSex/Sexo: F1021 Silver Bluff RoadAiken, SC 29803803-648-0587

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

Sat-Sun: Closed

Towner, Susan B, NPSex/Sexo: F107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Page 14: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Family Medicine/Medicina general para la familia – Aiken County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

13

Specialists/Especialistas

Family Medicine/Medicina general para la familia cont.

Aiken County cont.Towner, Susan B, NPSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

0 Y-99 Y

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

Wages, Timber R, PA-CSex/Sexo: F107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Wages, Timber R, PA-CSex/Sexo: F1021 Silver Bluff RoadAiken, SC 29803803-648-0587

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

Sat-Sun: Closed

Wages, Timber R, PA-CSex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Wages, Timber R, PA-CSex/Sexo: F3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Bibb CountyTurullols, Sylvia D, MDSex/Sexo: F5925 Zebulon RoadMacon, GA 31210478-757-7865

0 Y-99 YMon-Sun: 9:00 AM - 5:00 PM

Turullols, Sylvia D, MDSex/Sexo: F3400 Riverside DriveMacon, GA 31210478-474-5600

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

Sat-Sun: Closed

Columbia CountyPleming, Brandi, FNPSex/Sexo: F4720 Washington RoadEvans, GA 30809706-650-1111

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

Sat-Sun: Closed

Pleming, Brandi, FNPSex/Sexo: F447 North Belair RoadSuite 101Evans, GA 30809706-854-2222

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

Sat-Sun: Closed

Pleming, Brandi, FNPSex/Sexo: F925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Sat-Sun: Closed

Reed, Lyudmila M, FNPSex/Sexo: F4720 Washington RoadEvans, GA 30809706-650-0111

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

Sat-Sun: Closed

Reed, Lyudmila M, FNPSex/Sexo: F447 North Belair RoadSuite 101Evans, GA 30809706-854-2222

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

Sat-Sun: Closed

Reed, Lyudmila M, FNPSex/Sexo: F925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Sat-Sun: Closed

Towner, Susan B, NPSex/Sexo: F465 North Belair RoadSuite 2BEvans, GA 30809706-774-7400

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

Sat-Sun: Closed

Towner, Susan B, NPSex/Sexo: F925 Branch CourtSuite 201Grovetown, GA 30813706-396-1451

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

Sat-Sun: Closed

Towner, Susan B, NPSex/Sexo: F447 North Belair RoadSuite 104Evans, GA 30809706-854-2180

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

Sat-Sun: Closed

Yates, Ashley Marie, NPSex/Sexo: F4720 Washington RoadEvans, GA 30809706-650-1111

0 Y-99 YMon-Fri: 8:00 AM - 6:00 PM,

Sat-Sun: Closed

Yates, Ashley Marie, NPSex/Sexo: F925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Sat: 9:00 AM - 3:00 PM, Sun: Closed

Crisp CountyMcafee, Marvin T, PASex/Sexo: M201 E 16th AvenueCordele, GA 31015229-273-8501

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

Sat-Sun: Closed

Emanuel CountyChand, Gotam, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes215 N Coleman StreetSwainsboro, GA 30401478-237-2638

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

Sat-Sun: Closed

Jenkins CountyGay, Heywood K, MDSex/Sexo: M961 East Winthrope AvenueMillen, GA 30442478-982-0120

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

Sat-Sun: Closed

Muscogee CountyGeise, John S, PASex/Sexo: M5612 Whitesville RoadColumbus, GA 31904706-322-2223

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

Sat-Sun: Closed

Glynn, Leonard C, PASex/Sexo: M5612 Whitesville RoadColumbus, GA 31904706-322-2223

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

Sat-Sun: Closed

Lokkesmoe, Kevin D, MDSex/Sexo: M4328 Armour RoadColumbus, GA 31904706-507-1213

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

Sat-Sun: Closed

Mulleins-foreman, Ramona J, FNP

Sex/Sexo: F5612 Whitesville RoadColumbus, GA 31904706-322-2223

12 Y-99 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Richmond CountyBlakeney, Rashawn M, MDSex/Sexo: F1115 Garredd BoulevardAugusta, GA 30909706-790-4440

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Jenkins, Millicent A, FNPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

0 Y-99 Y

Mon-Fri: 8:00 AM - 7:00 PM, Sat-Sun: 9:00 AM - 3:00 PM

Khiani, Kailash, MDSex/Sexo: M1350 Walton WayAugusta, GA 30901706-774-5795

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Pleming, Brandi, FNPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

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

Sat-Sun: Closed

Page 15: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

14

Family Medicine/Medicina general para la familia – Richmond County

Specialists/Especialistas

Family Medicine/Medicina general para la familia cont.

Richmond County cont.Reed, Lyudmila M, FNPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8000

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

Sat-Sun: Closed

Towner, Susan B, NPSex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

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

Sat-Sun: Closed

Towner, Susan B, NPSex/Sexo: F3486 Peach Orchard RoadSuite 100Augusta, GA 30906706-828-8000

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

Sat-Sun: Closed

Russell CountyEllis, Daryl Arthur, MDSex/Sexo: M5009 Riverchase DriveSuite 500Phenix City, AL 36867334-448-9505

0 Y-99 YMon-Fri: 8:00 AM - 4:30 PM,

Sat-Sun: Closed

Washington CountySmith, Thomas C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes620 Sparta RoadSandersville, GA 31082478-240-2000

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

Sat-Sun: Closed

Smith, Thomas C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes501 Sparta RoadSandersville, GA 31082478-552-3441

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

Sat-Sun: Closed

Smith, Thomas C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes501 Sparta RoadSuite DDeepstep, GA 31082478-552-3441

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

Sat-Sun: Closed

Family Medicine: Hospice and Palliative Medicine/Medicina general para la familia: Cuidados paliativos y medicina paliativaCrisp CountyChristopher, Marjorie, FNPSex/Sexo: F602 East 16th AvenueSuite BCordele, GA 31015229-271-9330

0 Y-99 YMon-Sun: 9:00 AM - 8:00 PM

Family Medicine: Sports Medicine/Medicina general para la familia: Medicina deportivaMuscogee CountyAbdullah, Siraj F, MDSex/Sexo: M1800 10th AvenueSuite 100Columbus, GA 31901706-571-1120

0 Y-99 YMon-Fri: 8:00 AM - 4:30 PM,

Sat-Sun: Closed

Abdullah, Siraj F, MDSex/Sexo: M1800 10th AvenueColumbus, GA 31901706-571-1120

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

Sat-Sun: Closed

General Practice/Medicina generalAiken CountyWaddall, Chad, PASex/Sexo: M325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: 9:00 AM - 3:00 PM

Columbia CountyWaddall, Chad, PASex/Sexo: M447 North Belair RoadSuite 101Evans, GA 30809706-854-2222

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

Sat-Sun: Closed

Waddall, Chad, PASex/Sexo: M4720 Washington RoadEvans, GA 30809706-650-0111

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

Sat-Sun: Closed

Waddall, Chad, PASex/Sexo: M925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Jenkins CountyGay, Heywood K, MDSex/Sexo: M961 East Winthrope AvenueMillen, GA 30442478-982-0120

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

Sat-Sun: Closed

Muscogee CountyLahouse, William R, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1942 North AvenueColumbus, GA 31901706-596-1245

18 Y-99 Y

Mon-Thur: 9:00 AM - 5:00 PM, Fri: 9:00 AM - 12:00 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Richmond CountyTaneous, Mary, MDSex/Sexo: F1350 Walton WayAugusta, GA 30901706-774-5400

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedWaddall, Chad, PASex/Sexo: M3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8000

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

Sat-Sun: Closed

Internal Medicine/Medicina internaAiken CountyLimbaugh, Brent H, MDSex/Sexo: M222 University ParkwayAiken, SC 29801803-306-1438

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

Sat-Sun: Closed

Nusrat, Faheem B, MDSex/Sexo: M3515 Richland AvenueAiken, SC 29801803-642-2626

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedNusrat, Faheem B, MDSex/Sexo: M325 Georgia AvenueSuite 200North Augusta, SC 29841803-442-5750

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

Sat-Sun: Closed

Nusrat, Faheem B, MDSex/Sexo: M107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedNusrat, Faheem B, MDSex/Sexo: M325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedSchulte, David A, DOSex/Sexo: M325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: 9:00 AM - 3:00 PM

Page 16: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Internal Medicine/Medicina interna – Aiken County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

15

Specialists/Especialistas

Internal Medicine/Medicina interna cont.

Aiken County cont.Tanner, Stacy, PASex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

0 Y-99 Y

Mon-Fri: 8:30 AM - 7:30 PM, Sat: 9:00 AM - 3:00 PM, Sun: Closed

Bibb CountyKampe, Doris, MDSex/Sexo: F777 Hemlock StreetMacon, GA 31201478-633-6600

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

Sat-Sun: Closed

Okoye, Cynthia C, MDSex/Sexo: F777 Hemlock StreetMacon, GA 31201478-633-7550

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

Sat-Sun: Closed

Columbia CountyHouse, Kristin Jane, PASex/Sexo: F925 Branch CourtSuite 201Grovetown, GA 30813706-396-1451

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

Sat-Sun: Closed

House, Kristin Jane, PASex/Sexo: F447 North Belair RoadSuite 104Evans, GA 30809706-854-2180

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

Sat-Sun: Closed

Nicholson, Matthew S, MDSex/Sexo: M4321 University ParkwaySuite 101Evans, GA 30809504-988-2339

0 Y-100 YMon-Thur: 8:00 AM - 4:30

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

Tanner, Stacy, PASex/Sexo: F447 North Belair RoadSuite 101Evans, GA 30809706-854-2222

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

Sat-Sun: Closed

Tanner, Stacy, PASex/Sexo: F4720 Washington RoadEvans, GA 30809706-650-0111

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

Sat-Sun: Closed

Tanner, Stacy, PASex/Sexo: F925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Emanuel CountyChand, Gotam, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes215 N Coleman StreetSwainsboro, GA 30401478-237-2638

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

Sat-Sun: Closed

Jefferson CountyFranklin, Samuel G, MDSex/Sexo: M1067 Peachtree StreetLouisville, GA 30434478-625-7000

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

Sat-Sun: Closed

Pilcher, James W, MDSex/Sexo: M1067 Peachtree StreetLouisville, GA 30434478-625-8471

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

Sat-Sun: Closed

Sanders, Harvey J, MDSex/Sexo: M406 E Broad StreetWrens, GA 30833706-547-7008

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

Sat-Sun: Closed

Jenkins CountyGay, Heywood K, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes961 East Winthrope AvenueMillen, GA 30442478-982-0120

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

Sat-Sun: Closed

Laurens CountyHorne, Oliver, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1000 Hillcrest ParkwayDublin, GA 31021478-741-1208

18 Y-99 YMon-Fri: 7:00 AM - 5:00 PM,

Sat-Sun: Closed

Richmond CountyAdasofunjo, Matthew O,

MBBCHSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1120 15th StreetAugusta, GA 30912706-721-2426

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

Sat-Sun: Closed

Ajebo, Germame Hailegior-gis, MD

Sex/Sexo: M989 Street Sebastian WayAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Baer ellington, Christopher B, MD

Sex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Baggaley, Brittany, PASex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

0 Y-99 Y

Mon-Fri: 8:00 AM - 7:00 PM, Sat-Sun: 9:00 AM - 3:00 PM

Baggaley, Brittany, PASex/Sexo: F3486 Peach Orchard RoadSuite 100Augusta, GA 30906706-828-8000

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Deas, Willie, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes2123 Wrightsboro RoadAugusta, GA 30904706-736-5244

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

Sat-Sun: Closed

Gupta, Sandeepkumar Jagdishbmai, MD

Sex/Sexo: M1220 West Wheeler ParkwayAugusta, GA 30909706-721-2741

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

Sat-Sun: Closed

Gupta, Sandeepkumar Jagdishbmai, MD

Sex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-4588

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

Sat-Sun: Closed

House, Kristin Jane, PASex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

0 Y-99 Y

Mon-Fri: 8:00 AM - 7:00 PM, Sat-Sun: 9:00 AM - 3:00 PM

House, Kristin Jane, PASex/Sexo: F3486 Peach Orchard RoadSuite 100Augusta, GA 30906706-828-8000

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

Sat-Sun: Closed

Kang, Yao, MDSex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-7005

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Long III, Eugene M, MDSex/Sexo: M3696 Wheeler RoadAugusta, GA 30909706-736-1830

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Nicholson, Matthew S, MDSex/Sexo: M820 Saint Sebastian WaySuite 4CAugusta, GA 30901706-774-5995

0 Y-100 YMon-Thur: 8:00 AM - 4:30

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

Page 17: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

16

Internal Medicine/Medicina interna – Richmond County

Specialists/Especialistas

Internal Medicine/Medicina interna cont.

Richmond County cont.Schafer, Pascha E, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1003 Chafee AvenueAugusta, GA 30901706-724-8623

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

Sat-Sun: Closed

Schulte, David A, DOSex/Sexo: M1350 Walton WayAugusta, GA 30901706-774-5795

0 M-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Singh gill, Harmeet, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1350 Walton Way4th Floor WestAugusta, GA 30901706-774-5795

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedSmith, Kumud, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1350 Walton WayAugusta, GA 30901706-774-5795

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Tanner, Stacy, PASex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8000

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

Sat-Sun: Closed

Weintraub, Neal L, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1003 Chafee AvenueAugusta, GA 30901706-724-8623

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

Sat-Sun: Closed

Internal Medicine: Cardiovascular Disease/Medicina interna: Enfermedades cardiovascularesBaldwin CountySchneibel, Erik, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes750 N Cobb ParkwaySuite 150Milledgeville, GA 31061478-741-1208

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

Sat-Sun: Closed

Bibb CountyBeaver, Jami, NPSex/Sexo: F1062 Forsyth StreetSuite 1BMacon, GA 31201478-741-1208

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

Sat-Sun: Closed

Pye, Robert G, NPSex/Sexo: M777 Hemlock StreetMacon, GA 31201478-633-1000

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

Sat-Sun: Closed

Schneibel, Erik, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes777 Hemlock StreetMacon, GA 31201478-633-1000

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

Sat-Sun: Closed

Schneibel, Erik, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1062 Forsyth StreetSuite 1BMacon, GA 31201478-741-1208

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

Sat-Sun: Closed

Columbia CountyArora, Vishal, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes303 West Robinson ParkwayGrovetown, GA 30813706-721-8623

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

Sat-Sun: Closed

Stephenson, Julia, PA-CSex/Sexo: F4350 Towne Center DriveSuite 1100Evans, GA 30809706-863-3790

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Houston CountySchneibel, Erik, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes304 Margie DriveWarner Robins, GA 31088478-971-7420

18 Y-99 YMon-Fri: 7:00 AM - 5:00 PM,

Sat-Sun: Closed

Laurens CountyMullis, Tabitha, NPSex/Sexo: F206 A Hospital DriveDublin, GA 31021478-272-3525

18 Y-99 YMon-Fri: 8:00 AM - 5:30 PM,

Sat-Sun: Closed

Muscogee CountyLahouse, William R, MDSex/Sexo: M1942 North AvenueColumbus, GA 31901706-596-1245

18 Y-99 Y

Mon-Thur: 9:00 AM - 5:00 PM, Fri: 9:00 AM - 12:00 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Putnam CountyDejunco, Joseph E, MDSex/Sexo: M101 Lake Oconee ParkwayEatonton, GA 31024706-485-2711

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

Sat-Sun: Closed

Richmond CountyArora, Vishal, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1003 Chafee AveueAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Baman, Rakesh I, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1350 Walton WayAugusta, GA 30901706-774-7012

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

Sat-Sun: Closed

Breeden, Amanda L, PASex/Sexo: F1348 Walton WaySuite 5100Augusta, GA 30901706-724-8611

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

Sat-Sun: Closed

Brown, Cassandra, FNPSex/Sexo: F2258 Wrightsboro RoadSuite 400Augusta, GA 30904706-595-1186

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Burt, Victoria, FNPSex/Sexo: F2258 Wrightsboro RoadSuite 400Augusta, GA 30904706-724-4400

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

Sat-Sun: Closed

Derrick, Rosetta, FNPSex/Sexo: F2258 Wrightsboro RoadSuite 400Augusta, GA 30904706-724-4400

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Hagin, La-sho’ndra, NPSex/Sexo: F818 Street Sebastian WaySuite 311Augusta, GA 30901706-724-3473

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

Sat-Sun: Closed

Hevia paez, Pedro, CNPSex/Sexo: M1350 Walton WayAugusta, GA 30901706-774-7855

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

Sat-Sun: Closed

Johnson, Michael J, MDSex/Sexo: M1350 Walton WayAugusta, GA 30901706-722-9011

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

Sat-Sun: Closed

Johnson, Michael J, MDSex/Sexo: M1348 Walton WaySuite 5100Augusta, GA 30901706-724-8611

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Page 18: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

17

Specialists/Especialistas

Internal Medicine: Cardiovascular Disease/Medicina interna: Enfermedades cardiovasculares – Richmond County

Internal Medicine: Cardiovascular Disease/Medicina interna: Enfermedades cardiovasculares cont.

Richmond County cont.Johnson, Ray Edward, MDSex/Sexo: M1348 Walton WaySuite 5100Augusta, GA 30901706-724-8611

0 Y-100 Y

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

Pye, Caitlin, NPSex/Sexo: F2258 Wrightsboro RoadSuite 400Augusta, GA 30904706-724-4400

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Raines, Erica, NPSex/Sexo: F2258 Wrightsboro RoadSuite 400Augusta, GA 30904706-724-4400

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Schafer, Pascha E, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1003 Chafee AvenueAugusta, GA 30901706-724-8623

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

Sat-Sun: Closed

Slater, Amy, PASex/Sexo: F1350 Walton WayAugusta, GA 30901706-774-7855

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

Sat-Sun: Closed

Weintraub, Neal L, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1003 Chafee AvenueAugusta, GA 30901706-724-8623

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

Sat-Sun: Closed

Troup CountyMcdowell, Ashley E, PASex/Sexo: F1602 Vernon RoadSuite 300Lagrange, GA 30240770-732-4025

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

Sat-Sun: Closed

Stanley, Christopher A, PA-C

Sex/Sexo: M1514 Vernon RoadLagrange, GA 30240706-882-1411

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

Internal Med-icine: Clinical Cardiac Electro-physiology/Me-dicina interna: Electrofisiología cardíaca clínicaBibb CountyBrown, Charneika C, NPSex/Sexo: F639 Hemlock StreetSuite 100Macon, GA 31201478-755-1560

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

Sat-Sun: Closed

Columbia CountyVarkey, Santosh C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes4350 Towne Centre DriveSuite 3200Evans, GA 30809706-863-3790

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

Sat-Sun: Closed

Richmond CountyClark, David M, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1350 Walton WayAugusta, GA 30901706-869-9960

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

Sat-Sun: Closed

Varkey, Santosh C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes818 Saint Sebastian WaySuite 311Augusta, GA 30901706-724-3473

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Internal Medicine: Endocrinology, Diabetes & Metabolism/Medicina interna: Endocrinología, diabetes y metabolismoBibb CountyHenderson, Deanna, MDSex/Sexo: F777 Hemlock StreetMacon, GA 31201478-633-6600

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

Sat-Sun: Closed

Columbia CountyNicholson, Matthew S, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes4321 University ParkwaySuite 101Evans, GA 30809504-988-2339

0 Y-100 YMon-Thur: 8:00 AM - 4:30

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

Topiwala, Shehzad Meh-boob, MD

Sex/Sexo: M462 Furys Ferry RoadAugusta, GA 30907706-868-0319

0 Y-120 YMon-Fri: 7:30 AM - 5:30 PM,

Sat: 7:30 AM - 1:30 PM, Sun: Closed

Houston CountyKlindukhova, Olena I, MDSex/Sexo: F233 North Houston RoadSuite 101Warner Robins, GA 31093478-352-7010

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

Sat-Sun: Closed

Klindukhova, Olena I, MDSex/Sexo: F233 North Houston RoadSuite 101Warner Robins, GA 31093478-352-7010

0 M-99 Y

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

Richmond CountyBenson, Krista, PASex/Sexo: F820 Saint Sebastian WaySuite 4CAugusta, GA 30901706-774-7760

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Hendley, Hillary, PASex/Sexo: F820 Saint Sebastian WaySuite 4CAugusta, GA 30901706-774-7760

0 Y-99 YMon-Thur: 8:00 AM - 4:30

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

Nicholson, Matthew S, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes820 Saint Sebastian WaySuite 4CAugusta, GA 30901706-774-5995

0 Y-100 YMon-Thur: 8:00 AM - 4:30

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

Internal Med-icine: Gastro-enterology/Me-dicina interna: Gastroenterolo-gíaBibb CountyPenn, Daniel E, MDSex/Sexo: M840 Pine StreetSuite 750Macon, GA 31201478-633-1458

16 Y-99 YMon-Fri: 8:00 AM - 4:30 PM,

Sat-Sun: Closed

Columbia CountyHenson, Stephan, PASex/Sexo: M393-2 North BelaiEvans, GA 30809706-434-2312

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

PM, Fri: 9:00 AM - 3:00 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Laurens CountyFlynn, Mary, MDSex/Sexo: F200 Fairview Park DriveDublin, GA 31021855-366-7989

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

Sat-Sun: Closed

Page 19: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

18

Internal Medicine: Gastroenterology/Medicina interna: Gastroenterología – Laurens County

Specialists/Especialistas

Internal Med-icine: Gastro-enterology/Medicina inter-na: Gastroenter-ología cont.

Laurens County cont.Ford, Ryan M, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes200 Fairview Park DriveDublin, GA 31021855-366-7889

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

Sat-Sun: Closed

Grundfast, Matthew B, DOSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes111 Fairview Park DriveDublin, GA 31021478-277-1929

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Roccaro, Giorgio, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes200 Fairview Park DriveDublin, GA 31021855-366-7989

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

Sat-Sun: Closed

Richmond CountyBrown II, Ronald, MDSex/Sexo: M820 Saint Sebastian Way4th FloorAugusta, GA 30901706-774-7488

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Ellison, Steven B, MDSex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-4581

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Mecredy, Timothy E, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes3651 Wheeler RoadAugusta, GA 30909706-651-3232

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

Sat-Sun: Closed

Troup CountyLyday II, William D, MDSex/Sexo: M1514 Vernon RoadLagrange, GA 30240706-880-7311

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

Sat-Sun: Closed

Lyday II, William D, MDSex/Sexo: M1551 Doctors DriveLagrange, GA 30240706-880-7311

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

Sat-Sun: Closed

Internal Medicine: Hematology/Medicina interna: HematologíaLaurens CountyFlynn, Mary, MDSex/Sexo: F200 Fairview Park DriveDublin, GA 31021855-366-7989

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

Sat-Sun: Closed

Internal Medicine: Hematology & Oncology/Medicina interna: Hematología y oncologíaAiken CountyDavid, Alice K, MDSex/Sexo: F222 University ParkwayAiken, SC 29801803-306-1438

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

Sat-Sun: Closed

Flanders, Aaron, MDSex/Sexo: M222 University ParkwayAiken, SC 29801803-306-1438

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

Sat-Sun: Closed

Hudson, John K, MDSex/Sexo: M222 University ParkwayAiken, SC 29801803-306-1438

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

Sat-Sun: Closed

Limbaugh, Brent H, MDSex/Sexo: M222 University ParkwayAiken, SC 29801803-306-1438

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

Sat-Sun: Closed

Muscogee CountyJiang, Peter Q, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1831 5th AvenueColumbus, GA 31904706-320-8780

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

Sat-Sun: Closed

Richmond CountyAjebo, Germame Hailegior-

gis, MDSex/Sexo: M989 Street Sebastian WayAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Doshi, Vaishali, MBBSSex/Sexo: F818 St. Sebastian WaySuite 400Augusta, GA 30901706-722-4245

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

Sat-Sun: Closed

Flanders, Aaron, MDSex/Sexo: M3696 Wheeler RoadAugusta, GA 30909706-396-5357

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

Sat-Sun: Closed

Keaton, Mark R, MDSex/Sexo: M818 St. Sebastian WaySuite 400Augusta, GA 30901706-722-4245

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

Sat-Sun: Closed

Kota, Vamsi K, MBBSSex/Sexo: M989 Street Sebastian WayAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Internal Medicine: Infectious Disease/Medicina interna: Enfermedades infecciosasBurke CountyDavis, Kepler A, MDSex/Sexo: M480 Martin Luther King Jr

RoadSuite BKeysville, GA 30816706-790-4440

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

Sat-Sun: Closed

Jefferson CountyDavis, Kepler A, MDSex/Sexo: M501 Broad StreetWrens, GA 30833706-547-2559

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

Sat-Sun: Closed

Richmond CountyDavis, Kepler A, MDSex/Sexo: M2467 Golden Camp RoadAugusta, GA 30906706-790-4440

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

Sat-Sun: Closed

Lawal, Folake, MBBSSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Page 20: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

19

Specialists/Especialistas

Internal Medicine: Interventional Cardiology/Medicina interna: Cardiología intervencionista – Baldwin County

Internal Medicine: Interventional Cardiology/Medicina interna: Cardiología intervencionistaBaldwin CountyElmore, Julius B, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes750 N Cobb ParkwaySuite 150Milledgeville, GA 31061478-741-1208

18 Y-99 YMon-Fri: 7:00 AM - 5:00 PM,

Sat-Sun: Closed

Columbia CountyCushman, Clay, PASex/Sexo: M4350 Towne Centre DriveSuite 3200Evans, GA 30809706-863-3790

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

Sat-Sun: Closed

Stephenson, Julia, PA-CSex/Sexo: F4350 Towne Center DriveSuite 1100Evans, GA 30809706-863-3790

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Richmond CountyCushman, Clay, PASex/Sexo: M818 Saint Sebastian WaySuite 311Augusta, GA 30901706-724-3473

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedCushman, Clay, PASex/Sexo: M1350 Walton WayAugusta, GA 30901706-724-8611

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

Sat-Sun: Closed

Walters, Gordon, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1350 Walton WayAugusta, GA 30901706-774-7012

0 Y-120 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Internal Medicine: Medical Oncology/Medicina interna: Oncología médicaAiken CountyAtkins, Miriam Y, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes222 University ParkwayAiken, SC 29801803-306-1438

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

Sat-Sun: Closed

Flanders, Aaron, MDSex/Sexo: M222 University ParkwayAiken, SC 29801803-306-1438

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

Sat-Sun: Closed

Limbaugh, Brent H, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes222 University ParkwayAiken, SC 29801803-306-1438

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

Sat-Sun: Closed

Muscogee CountyPippas, Andrew W, MDSex/Sexo: M1831 5th AvenueColumbus, GA 31901706-571-1050

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

Pippas, Andrew W, MDSex/Sexo: M1831 5th AvenueColumbus, GA 31904706-571-1050

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

Richmond CountyDiller, Rebecca, PASex/Sexo: F3696 Wheeler RoadAugusta, GA 30909706-736-1830

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

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

Egan, Shannon, PASex/Sexo: F3696 Wheeler RoadAugusta, GA 30909706-736-1830

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Flanders, Aaron, MDSex/Sexo: M3696 Wheeler RoadAugusta, GA 30909706-396-5357

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

Sat-Sun: Closed

Keaton, Mark R, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes818 St. Sebastian WaySuite 400Augusta, GA 30901706-722-4245

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

Sat-Sun: Closed

Long III, Eugene M, MDSex/Sexo: M3696 Wheeler RoadAugusta, GA 30909706-736-1830

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Internal Medicine: Nephrology/Medicina interna: NefrologíaBibb CountyKabbani, Ahmad A, MDSex/Sexo: M640 Martin Luther King Jr

BoulevardSuite 200Macon, GA 31201478-745-5455

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedKadiyala, Deepak, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes777 Hemlock StreetMacon, GA 31201478-633-6600

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

Sat-Sun: Closed

Rhoades, Adam N, PASex/Sexo: M640 Martin Luther King Jr

BoulevardSuite 200Macon, GA 31201478-745-5455

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

Sat-Sun: Closed

Internal Medicine: Pulmonary Disease/Medicina interna: Enfermedades pulmonaresBibb CountyPonce alvarez, Mario C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes764 Pine StreetMacon, GA 31201478-633-6272

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

Sat-Sun: Closed

Ponce alvarez, Mario C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes777 Hemlock StreetMacon, GA 31201478-633-6272

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

Sat-Sun: Closed

Richmond CountyBrannen II, Alfred L, MDSex/Sexo: M1301 Broad StreetAugusta, GA 30901706-922-5864

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

Sat-Sun: Closed

Garner, Edward Clark, MDSex/Sexo: M2030 Walton WayAugusta, GA 30909706-922-6300

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

Sat: 9:00 AM - 6:00 PM, Sun: 1:00 PM - 6:00 PM

Kulkarni, Varsha Anant, MDSex/Sexo: F1301 Broad StreetAugusta, GA 30901706-922-5864

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

Sat-Sun: Closed

Pethke, Scott Daniel, MDSex/Sexo: M1301 Broad StreetAugusta, GA 30901706-922-5864

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

Sat-Sun: Closed

Page 21: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

20

Internal Medicine: Rheumatology/Medicina interna: Reumatología – Muscogee County

Specialists/Especialistas

Internal Medicine: Rheumatology/Medicina interna: ReumatologíaMuscogee CountyVivas, Jaime, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes2200 Hamilton RoadSuite AColumbus, GA 31904706-660-1711

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Richmond CountyCarbone, Laura D, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1220 West Wheeler ParkwayAugusta, GA 30909706-869-1515

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Tolaymat, Omar Amed, MDSex/Sexo: M1220 West Wheeler ParkwayAugusta, GA 30909706-721-2741

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

Sat-Sun: Closed

Tolaymat, Omar Amed, MDSex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-4588

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

Sat-Sun: Closed

Internal Medicine: Transplant Hepatology/Medicina interna: Hepatología y TrasplanteLaurens CountyFlynn, Mary, MDSex/Sexo: F200 Fairview Park DriveDublin, GA 31021855-366-7989

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

Sat-Sun: Closed

Ford, Ryan M, MDSex/Sexo: M200 Fairview Park DriveDublin, GA 31021855-366-7889

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

Sat-Sun: Closed

Midwife/ParteraColumbia CountyTitus, Hamer, MDSex/Sexo: F4300 University ParkwayEvans, GA 30809706-721-8623

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

Sat-Sun: Closed

Greene CountyTitus, Hamer, MDSex/Sexo: F2011 Westend DriveGreensboro, GA 30642706-453-9803

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

Sat-Sun: Closed

Neurological Surgery/Cirugía neurológicaColumbia CountyManning, Chelsea, PASex/Sexo: F840 Stevens Creek RoadAugusta, GA 30907706-722-6957

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 3:00 PM, Sat-Sun: Closed

Mitchell, Jamie, PASex/Sexo: M840 Stevens Creek RoadAugusta, GA 30907706-722-6957

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

Sat-Sun: Closed

Taylor, Kit, PASex/Sexo: F840 Stevens Creek RoadAugusta, GA 30907706-722-6957

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

Sat-Sun: Closed

Crisp CountyBarnard II, Henry H, MDSex/Sexo: M316 16th AvenueSuite BCordele, GA 31015229-273-1730

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

Nurse Practitioner: Acute Care/Enfermero(a) practicante: Cuidado agudoAiken CountyPoisson, William T, NPSex/Sexo: M775 Medical Park DriveAiken, SC 29801803-643-7391

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Columbia CountyPoisson, William T, NPSex/Sexo: M401 Town Park BoulevardEvans, GA 30809706-721-8623

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

Sat-Sun: Closed

Richmond CountyBreeden, Amanda L, PASex/Sexo: F1348 Walton WaySuite 5100Augusta, GA 30901706-724-8611

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

Sat-Sun: Closed

Poisson, William T, NPSex/Sexo: M1631 Gordon HighwaySuite 1BAugusta, GA 30906706-721-8623

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

Sat-Sun: Closed

Poisson, William T, NPSex/Sexo: M2841 Deans Bridge RoadAugusta, GA 30906706-721-4501

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedPoisson, William T, NPSex/Sexo: M1825 Wylds RoadAugusta, GA 30909706-721-8623

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

Sat-Sun: Closed

Nurse Practitioner: Adult Health/Enfermero(a) practicante: Servicios médicos para adultosBaldwin CountyCawthon, Annie, NPSex/Sexo: F750 N Cobb ParkwaySuite 150Milledgeville, GA 31061478-741-1208

0 Y-120 YMon-Fri: 7:00 AM - 5:00 PM,

Sat-Sun: Closed

Cawthon, Annie, NPSex/Sexo: F750 North Cobb StreetSuite 130Milledgeville, GA 31061478-741-1208

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Bibb CountyCawthon, Annie, NPSex/Sexo: F1062 Forsyth StreetSuite 1BMacon, GA 31201478-741-1208

0 Y-120 YMon-Fri: 7:00 AM - 5:00 PM,

Sat-Sun: Closed

Pye, Robert G, NPSex/Sexo: M777 Hemlock StreetMacon, GA 31201478-633-1000

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

Sat-Sun: Closed

Page 22: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Nurse Practitioner: Family/Enfermero(a) practicante: Familia – Aiken County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

21

Specialists/Especialistas

Nurse Practitioner: Family/Enfermero(a) practicante: FamiliaAiken CountyBarco, Angela M, NPSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedBarco, Angela M, NPSex/Sexo: F1021 Silver Bluff RoadAiken, SC 29803803-648-0587

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

Sat-Sun: Closed

Barco, Angela M, NPSex/Sexo: F3515 Richland AvenueAiken, SC 29801803-642-2626

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

Sat-Sun: Closed

Barco, Angela M, NPSex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Barco, Angela M, NPSex/Sexo: F107 Walnut LaneSuite 102North Augusta, SC 29860803-202-7110

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

Sat-Sun: Closed

Jenkins, Millicent A, FNPSex/Sexo: F325 Georgia AvenueSuite 200North Augusta, SC 29841803-202-3351

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

Sat-Sun: Closed

Jenkins, Millicent A, FNPSex/Sexo: F107 Walnut LaneSuite 101North Augusta, SC 29860803-202-3351

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

Sat-Sun: Closed

Reed, Lyudmila M, FNPSex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

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

Sat-Sun: 9:00 AM - 3:00 PM

Baldwin CountyWilliams, Bridgette, NPSex/Sexo: F540 W Thomas StreetSuite EMilledgeville, GA 31061478-738-9443

18 Y-120 YMon: 5:30 AM - 8:30 PM,

Tue: 5:30 AM - 7:45 PM, Wed: 5:30 AM - 8:30 PM, Thur: 5:30 AM - 7:45 PM, Fri: 7:45 AM - 3:30 PM, Sat-Sun: Closed

Bibb CountyWilliams, Bridgette, NPSex/Sexo: F654 First StreetMacon, GA 31201478-738-9443

18 Y-99 YMon: 5:30 AM - 8:30 PM,

Tue: 5:30 AM - 7:45 PM, Wed: 5:30 AM - 8:30 PM, Thur: 5:30 AM - 7:45 PM, Fri: 7:45 AM - 3:30 PM, Sat-Sun: Closed

Columbia CountyBarco, Angela M, NPSex/Sexo: F840 Stevens Creek RoadAugusta, GA 30907706-722-6957

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 3:00 PM, Sat-Sun: Closed

Chapel, Melissa, FNPSex/Sexo: F840 Stevens Creek RoadAugusta, GA 30907706-722-6957

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 3:00 PM, Sat-Sun: Closed

Chua, Mark andrew C, NPSex/Sexo: M447 North Belair RoadSuite 104Evans, GA 30809706-854-2222

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedChua, Mark andrew C, NPSex/Sexo: M447 North Belair RoadSuite 101Evans, GA 30809706-854-6914

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Key, Erin, FNPSex/Sexo: M840 Stevens Creek RoadAugusta, GA 30907706-722-6957

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 3:00 PM, Sat-Sun: Closed

Mims, Tanya Lynn, FNPSex/Sexo: F4106 Columbia RoadSuite 103Augusta, GA 30907706-863-1440

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

Sat-Sun: Closed

Oglesby, Julie, FNPSex/Sexo: F925 Branch CourtSuite 201Grovetown, GA 30813706-396-1451

0 Y-99 YMon-Thur: 8:00 AM - 5:00

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

Oglesby, Julie, FNPSex/Sexo: F447 North Belair RoadSuite 104Evans, GA 30809706-854-2222

0 Y-99 YMon-Thur: 8:00 AM - 5:00

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

Oglesby, Julie, FNPSex/Sexo: F925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Sat: 9:00 AM - 3:00 PM, Sun: Closed

Pleming, Brandi, FNPSex/Sexo: F4720 Washington RoadEvans, GA 30809706-650-1111

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

Sat-Sun: Closed

Pleming, Brandi, FNPSex/Sexo: F447 North Belair RoadSuite 101Evans, GA 30809706-854-2222

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

Sat-Sun: Closed

Pleming, Brandi, FNPSex/Sexo: F925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Sat-Sun: Closed

Reed, Lyudmila M, FNPSex/Sexo: F4720 Washington RoadEvans, GA 30809706-650-0111

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

Sat-Sun: Closed

Reed, Lyudmila M, FNPSex/Sexo: F447 North Belair RoadSuite 101Evans, GA 30809706-854-2222

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

Sat-Sun: Closed

Reed, Lyudmila M, FNPSex/Sexo: F925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Sat-Sun: Closed

Yates, Ashley Marie, NPSex/Sexo: F4720 Washington RoadEvans, GA 30809706-650-1111

0 Y-99 YMon-Fri: 8:00 AM - 6:00 PM,

Sat-Sun: Closed

Yates, Ashley Marie, NPSex/Sexo: F925 Branch CourtSuite 101Grovetown, GA 30813706-396-1451

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

Sat: 9:00 AM - 3:00 PM, Sun: Closed

Dodge CountyKnight, Kelly Y, NPSex/Sexo: F1121 Plaza AvenueEastman, GA 31023478-374-5576

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

Sat-Sun: Closed

Houston CountyBrown, Briana, NPSex/Sexo: F1117 Morningside DrivePerry, GA 31069478-224-1976

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Page 23: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

22

Nurse Practitioner: Family/Enfermero(a) practicante: Familia – Houston County

Specialists/Especialistas

Nurse Practitioner: Family/Enfermero(a) practicante: Familia cont.

Houston County cont.Brown, Briana, NPSex/Sexo: F415 E 4th AvenuePerry, GA 31069478-224-1976

0 Y-120 YMon-Fri: 8:30 AM - 4:30 PM,

Sat-Sun: Closed

Rowell, Michelle F, NPSex/Sexo: F1601 Watson BoulevardWarner Robins, GA 31093478-743-9762

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

Sat-Sun: Closed

Rowell, Michelle F, NPSex/Sexo: F1020 Keith DrivePerry, GA 31069478-633-1458

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

Sat-Sun: Closed

McDuffie CountyWiley, Megan D, NPSex/Sexo: F2508 University DriveThomson, GA 30824706-595-1090

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Peach CountyBrown, Briana, NPSex/Sexo: F200 Ga Highway 49SByron, GA 31008478-224-1976

0 Y-120 YMon-Fri: 8:30 AM - 4:30 PM,

Sat-Sun: Closed

Williams, Bridgette, NPSex/Sexo: F105 Avera DriveFort Valley, GA 31030478-827-1444

18 Y-99 YMon: 5:30 AM - 8:30 PM,

Tue: 5:30 AM - 7:45 PM, Wed: 5:30 AM - 8:30 PM, Thur: 5:30 AM - 7:45 PM, Fri: 7:45 AM - 3:30 PM, Sat-Sun: Closed

Richmond CountyBarnes, Holly, NPSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-3042

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Brown, Cassandra, FNPSex/Sexo: F2258 Wrightsboro RoadSuite 400Augusta, GA 30904706-595-1186

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Burt, Victoria, FNPSex/Sexo: F2258 Wrightsboro RoadSuite 400Augusta, GA 30904706-724-4400

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

Sat-Sun: Closed

Chua, Mark andrew C, NPSex/Sexo: M3486 Peach Orchard RoadSuite 100Augusta, GA 30906706-854-6914

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Collingsworth, Teddy, FNPSex/Sexo: M811 13th StreetSuite 20Augusta, GA 30901706-722-3401

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Derrick, Rosetta, FNPSex/Sexo: F2258 Wrightsboro RoadSuite 400Augusta, GA 30904706-724-4400

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Hagin, La-sho’ndra, NPSex/Sexo: F818 Street Sebastian WaySuite 311Augusta, GA 30901706-724-3473

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

Sat-Sun: Closed

Hevia paez, Pedro, CNPSex/Sexo: M1350 Walton WayAugusta, GA 30901706-774-7855

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

Sat-Sun: Closed

Jenkins, Millicent A, FNPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

0 Y-99 Y

Mon-Fri: 8:00 AM - 7:00 PM, Sat-Sun: 9:00 AM - 3:00 PM

Mims, Tanya Lynn, FNPSex/Sexo: F3121 Peach Orchard RoadSuite 102Augusta, GA 30906706-863-1440

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedOates, Lashawn K, NPSex/Sexo: F1220 West Wheeler ParkwayAugusta, GA 30909706-721-8623

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedPleming, Brandi, FNPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8049

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

Sat-Sun: Closed

Rabun, Chasity G, NPSex/Sexo: F3121 Peach Orchard RoadSuite 103Augusta, GA 30903706-792-5075

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 3:00 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Reed, Lyudmila M, FNPSex/Sexo: F3486 Peach Orchard RoadSuite 200Augusta, GA 30906706-828-8000

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

Sat-Sun: Closed

Sabb, Ashley Turman, NPSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-3042

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Silva, Wilantha, FNPSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-3042

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

Sat-Sun: Closed

Tierney, Chasity Christina, NP

Sex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Tojino, Samantha M, FNPSex/Sexo: F3623 J Dewey Gray CircleSuite 220Augusta, GA 30909706-922-7680*Spanish

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

Sat-Sun: Closed

Tojino, Samantha M, FNPSex/Sexo: F3623 J Dewey Gray CircleSuite 308Augusta, GA 30909706-863-8155*Spanish

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

Sat-Sun: Closed

Walters, Colleen, NPSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Washington CountyWhitten, Shannon E, FNPSex/Sexo: F501 Sparta RoadSuite DDeepstep, GA 31082478-553-1388

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

Sat-Sun: Closed

Obstetrics & Gynecology/Obstetricia y ginecologíaBibb CountyPatel, Misti B, MDSex/Sexo: F764 Pine StreetMacon, GA 31201478-633-1710

0 Y-99 YMon-Thur: 7:30 AM - 5:30

PM, Fri: 7:30 AM - 12:00 PM, Sat-Sun: Closed

Columbia CountyAllen, Jennifer T, MDSex/Sexo: F303 West Robinson ParkwayGrovetown, GA 30813706-721-8623

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

Sat-Sun: Closed

Page 24: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Obstetrics & Gynecology/Obstetricia y ginecología – Columbia County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

23

Specialists/Especialistas

Obstetrics & Gynecology/Obstetricia y ginecología cont.

Columbia County cont.Mcdonough, Michel, MDSex/Sexo: M465 North Belair RoadSuite 2AEvans, GA 30809706-722-1381

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

Sat-Sun: Closed

Mcdonough, Jean Paul, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes465 North Belair RoadSuite 2AEvans, GA 30809706-722-1381

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

Sat-Sun: Closed

Norman, Kelly P, MDSex/Sexo: F465 North Belair RoadSuite 2AEvans, GA 30809706-722-1381

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

Sat-Sun: Closed

O’shields, Deborah, MDSex/Sexo: F465 North Belair RoadSuite 2AEvans, GA 30809706-722-1381

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

Sat-Sun: Closed

Parker, Julieann S, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes465 North Belair RoadSuite 2AEvans, GA 30809706-722-1381

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

Sat-Sun: Closed

Serrano, Tania, MDSex/Sexo: F465 North Belair RoadSuite 2AEvans, GA 30809706-722-1381

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

Sat-Sun: Closed

Thaxton, Paul, MDSex/Sexo: M7011 Evans Town Center

BoulevardSuite 101Evans, GA 30809706-922-4545

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

Sat-Sun: Closed

Toussaint, William N, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes303 West Robinson ParkwayGrovetown, GA 30813706-446-4493*Spanish

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

Sat-Sun: Closed

Williams, George, MDSex/Sexo: M465 North Belair RoadSuite 2AEvans, GA 30809706-722-1381

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

Sat-Sun: Closed

Zahler-miller, Carolyn, MDSex/Sexo: F303 West Robinson ParkwayGrovetown, GA 30813706-721-8623

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

Sat-Sun: Closed

Laurens CountyNicholson, Tonya B, CNMSex/Sexo: F2400 Bellevue RoadErin Office Park 23Dublin, GA 31021478-275-1304*Spanish

12 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 4:00 PM, Sat-Sun: Closed

Muscogee CountyFortson, Monica H, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1538 13th AvenueSuite C-200Columbus, GA 31901706-320-2547

0 Y-99 YMon-Thur: 8:00 AM - 5:00

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

Langan, Ankita B, MDSex/Sexo: F1538 13th AvenueSuite C-200Columbus, GA 31901706-320-2547

0 Y-99 YMon-Thur: 8:00 AM - 5:00

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

Langan, Ankita B, MDSex/Sexo: F3081 Williams RoadUnit AColumbus, GA 31909706-320-2547

0 Y-99 YMon-Thur: 8:00 AM - 5:00

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

Tidwell, Serena, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1538 13th AvenueSuite C-200Columbus, GA 31901706-320-2547

0 Y-99 YMon-Tue: 8:15 AM - 4:30 PM,

Wed: 8:00 AM - 4:30 PM, Thur-Sat: 8:00 AM - 5:00 PM

Richmond CountyAllen, Jennifer T, MDSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-4959

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

Sat-Sun: Closed

Bahr, Evan C, MDSex/Sexo: M1115 Garredd BoulevardAugusta, GA 30909706-790-4440

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedBahr, Evan C, MDSex/Sexo: M2300 Wrightsboro RoadAugusta, GA 30904706-737-3948

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedBahr, Evan C, MDSex/Sexo: M2300 Wrightsboro RoadAugusta, GA 30904706-737-3948

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedBarfield, William, MDSex/Sexo: M1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Brakta, Soumia, MDSex/Sexo: F2834 Hillcreek DriveAugusta, GA 30909706-721-8623

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

Sat-Sun: Closed

Brands, Patricia M, MDSex/Sexo: F1303 D Antignac StreetSuite 2500Augusta, GA 30901706-733-4427

0 Y-99 YMon-Thur: 8:00 AM - 5:00

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

Chance, Camilla, MDSex/Sexo: F1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Cheeks, Eddie R, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes2803 Wrightsboro RoadSuite 24Augusta, GA 30909706-736-2737

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

Sat-Sun: Closed

Christie, Theresa L, MDSex/Sexo: F1115 Garredd BoulevardAugusta, GA 30909706-790-4440

0 Y-100 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: 8:00 AM - 5:00 PM

Eldick, Dalal, MDSex/Sexo: F1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Gupta, Sandeepkumar Jagdishbmai, MD

Sex/Sexo: M1220 West Wheeler ParkwayAugusta, GA 30909706-721-2741

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

Sat-Sun: Closed

Gupta, Sandeepkumar Jagdishbmai, MD

Sex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-4588

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

Sat-Sun: Closed

Lavigne, William E, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes2100 Central AvenueAugusta, GA 30904706-737-5939*Spanish

12 Y-99 Y

Mon-Fri: 9:00 AM - 5:30 PM, Sat-Sun: Closed

Page 25: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

24

Obstetrics & Gynecology/Obstetricia y ginecología – Richmond County

Specialists/Especialistas

Obstetrics & Gynecology/Obstetricia y ginecología cont.

Richmond County cont.Lukman, Hatim, MDSex/Sexo: M1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Mcdonough, Michel, MDSex/Sexo: M1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Mcdonough, Jean Paul, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Morgan, Jennifer B, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Morgan-gibbs, Carla L, MDSex/Sexo: F1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Morris, Kacee, PASex/Sexo: F1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Norman, Kelly P, MDSex/Sexo: F1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 Y

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

O’shields, Deborah, MDSex/Sexo: F1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Parker, Julieann S, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Raley, Susanna S, MDSex/Sexo: F1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Serrano, Tania, MDSex/Sexo: F1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Ware, Debra J, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1348 Walton WaySuite 5500Augusta, GA 30901706-650-0104

Mon-Fri: 9:00 AM - 5:00 PM, Sat-Sun: ClosedWilliams, George, MDSex/Sexo: M1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Upson CountyIrwin, Laura S, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes917 W Gordon StreetSuite AThomaston, GA 30286706-647-9627

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

Sat-Sun: Closed

Washington CountyJain, Manish, MDSex/Sexo: M610 Sparta RoadSandersville, GA 31082706-721-8623

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

Sat-Sun: Closed

Obstetrics & Gynecology: Gynecologic Oncology/Obstetricia y ginecología: Oncología ginecológicaRichmond CountyMiller, Devin, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1303 D’Antignac StreetSuite 1000Augusta, GA 30901706-821-2944

0 Y-99 YMon-Thur: 8:30 AM - 5:00

PM, Fri-Sun: 8:00 AM - 5:00 PM

Obstetrics & Gynecology: Gynecology/Obstetricia y ginecología: GinecologíaRichmond CountyFreedman, Murray, MDSex/Sexo: M1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Miller, Devin, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1303 D’Antignac StreetSuite 1000Augusta, GA 30901706-821-2944

0 Y-99 YMon-Thur: 8:30 AM - 5:00

PM, Fri-Sun: 8:00 AM - 5:00 PM

Washington CountyJain, Manish, MDSex/Sexo: M610 Sparta RoadSandersville, GA 31082706-721-8623

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

Sat-Sun: Closed

Obstetrics & Gynecology: Maternal & Fetal Medicine/Obstetricia y ginecología: Medicina materna y fetalColumbia CountyMcdonough, Jean Paul, MDSex/Sexo: M465 North Belair RoadSuite 2AEvans, GA 30809706-722-1381

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

Sat-Sun: Closed

Richmond CountyMcdonough, Jean Paul, MDSex/Sexo: M1348 Walton WaySuite 4100Augusta, GA 30901706-722-1381

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Page 26: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

25

Specialists/Especialistas

Obstetrics & Gynecology: Obstetrics/Obstetricia y ginecología: Obstetricia – Richmond County

Obstetrics & Gynecology: Obstetrics/Obstetricia y ginecología: ObstetriciaRichmond CountyMontero, Freddy J, MDSex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-8623

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

Obstetrics & Gynecology: Reproductive Endocrinology/Obstetricia y ginecología: Endocrinología del sistema reproductorRichmond CountyServy, Edouard, MDSex/Sexo: M812 Chafee AvenueAugusta, GA 30904706-724-0228

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

Sat-Sun: Closed

Occupational Therapist/Terapeuta ocupacionalBibb CountyGibson, Miranda, OTSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1014 Forsyth StreetMacon, GA 31201478-633-2742

0 Y-100 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: 8:00 AM - 5:00 PM

Staples, Kathryn D, OTSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1014 Forsyth StreetMacon, GA 31201478-633-2742

0 Y-100 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: 8:00 AM - 5:00 PM

Columbia CountyShirley, Teresa, OTR-LSex/Sexo: F4405 Evans To Locks RoadSuite CEvans, GA 30809706-854-1598

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Muscogee CountyBarfield, Caitlyn, OTSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Hale, Alexandra, OTSex/Sexo: F2515 Double Churches RoadColumbus, GA 31909706-660-5495

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

Sat-Sun: Closed

Moltz, Kimberly G, OTSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Myers, Alison, OTSex/Sexo: F2515 Double Churches RoadColumbus, GA 31909706-660-5495

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

Ophthalmology/OftalmologíaMuscogee CountyKao, Timothy P, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes2616 Warm Springs RoadColumbus, GA 31904706-323-3491

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

Sat-Sun: Closed

Nix, Cynthia, MDSex/Sexo: F6600 Whittlesey BoulevardBuilding AColumbus, GA 31909706-323-3491

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

Sat-Sun: Closed

Richmond CountyBrown, Bruce, MDSex/Sexo: M1330 Interstate ParkwayAugusta, GA 30909706-651-2020

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

Sat-Sun: Closed

Demediuk, Oksana M, MDSex/Sexo: F3520 Walton Way ExtSuite 2AAugusta, GA 30909803-644-7171

0 Y-99 YMon-Fri: 7:30 AM - 5:30 PM,

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

Dhaliwal, Ranjit S, MDSex/Sexo: M3520 Walton Way ExtSuite 2AAugusta, GA 30909706-481-9191

0 M-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Fechter, Herbert P, MDSex/Sexo: M1330 Interstate ParkwayAugusta, GA 30909706-651-2020

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

Sat-Sun: Closed

Gardner, Beau, MDSex/Sexo: M1330 Interstate ParkwayAugusta, GA 30909706-651-2020

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

Sat-Sun: Closed

Lockwood, James C, MDSex/Sexo: M1330 Interstate ParkwayAugusta, GA 30909706-651-2020

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

Sat-Sun: Closed

Smith, Ryan T, MDSex/Sexo: M1330 Interstate ParkwayAugusta, GA 30909706-651-2020

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

Sat-Sun: Closed

Troup CountyKao, Shih Yin anna, MDSex/Sexo: F1805 Vernon RoadLagrange, GA 30240706-882-8831

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

Sat-Sun: Closed

Optometrist/OptometristaColumbia CountyHaubert, Matthew S, ODSex/Sexo: M3152 Washington RoadAugusta, GA 30907706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Richmond CountyHaubert, Matthew S, ODSex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Oral & Maxillofacial Surgery/Cirugía oral y maxilofacialAiken CountyScott, Daniel, DMDSex/Sexo: M101 Nutgrove AvenueNorth Augusta, SC 29841803-278-2050

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

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

Trotter, William, DMDSex/Sexo: M1907 Pawnee StreetAiken, SC 29803803-716-9586

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

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

Orthopaedic Surgery/Cirugía ortopédicaBibb CountyKelham, Steven A, PASex/Sexo: M3708 Northside DriveMacon, GA 31208478-745-4206

2 Y-99 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Page 27: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

26

Orthopaedic Surgery/Cirugía ortopédica – Coffee County

Specialists/Especialistas

Orthopaedic Surgery/Cirugía ortopédica cont.

Coffee CountyFarris, Rory C, MDSex/Sexo: M404 N Main StreetEnterprise, AL 36330334-308-9797

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

Sat-Sun: Closed

Lett, Patrick W, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes404 N Main StreetEnterprise, AL 36330334-308-9797

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

Sat-Sun: Closed

Columbia CountyArrington, Terry L, MDSex/Sexo: M2511 Associates WaySuite 101Evans, GA 30809706-854-2140

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Carter, Larry W, MDSex/Sexo: M2511 Associates WaySuite 101Evans, GA 30809706-854-2140

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Clapp, John S, MDSex/Sexo: M2511 Associates WaySuite 101Evans, GA 30809706-854-2140

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Herzwurm, Paul J, MDSex/Sexo: M2511 Associates WaySuite 101Evans, GA 30809706-854-2140

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Link, Matthew, MDSex/Sexo: M2511 Associates WaySuite 101Evans, GA 30809706-854-2140

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Oshea, Kevin J, MDSex/Sexo: M2511 Associates WaySuite 101Evans, GA 30809706-854-2140

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Phillips, Douglas R, MDSex/Sexo: M2511 Associates WaySuite 101Evans, GA 30809706-854-2140

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Pitts, Samuel, DOSex/Sexo: M925 Branch Court201Grovetown, GA 30813706-595-1186

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

Sat-Sun: Closed

Whitaker, Derek, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes4300 University ParkwayEvans, GA 30809706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Crisp CountyBarnard II, Henry H, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes316 16th AvenueSuite BCordele, GA 31015229-273-1730

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedBartosh, Robert A, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes910 N 5th StreetCordele, GA 31015229-276-3511

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

Sat-Sun: Closed

Davis, Michael A, MDSex/Sexo: M316 16th AvenueSuite BCordele, GA 31015229-273-1730

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedMcgee, Tracy S, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes316 East 16th AvenueSuite BCordele, GA 31015229-273-1730

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedPrince, Bobby D, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes316 16th AvenueSuite BCordele, GA 31015229-273-1730

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

Emanuel CountyMudano, Mark L, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes120A Victory DriveSwainsboro, GA 30401478-237-3291*Spanish

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

Sat-Sun: Closed

Houston CountyMaddox rane, Ashley L, PASex/Sexo: F345 Healthwest DriveDothan, AL 36303334-793-2663

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

Sat-Sun: Closed

McDuffie CountyBieltz, John B, DOSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes510 Mount Pleasant RoadThomson, GA 30824706-597-9700

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

Sat-Sun: Closed

Jordan, Benjamin, PASex/Sexo: M510 Mount Pleasant RoadThomson, GA 30824706-597-9700

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

Sat-Sun: Closed

Pitts, Samuel, DOSex/Sexo: M2500 University DriveThomson, GA 30824706-595-1186

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Richmond CountyAbell, Brian, DOSex/Sexo: M811 13th StreetSuite 20Augusta, GA 30901706-722-3401

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Collingsworth, Teddy, FNPSex/Sexo: M811 13th StreetSuite 20Augusta, GA 30901706-722-3401

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Gamblin, Patrick, PASex/Sexo: M811 13th StreetSuite 20Augusta, GA 30901706-722-3401

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Hogg, Leigh ann, PASex/Sexo: F811 13th StreetSuite 20Augusta, GA 30901706-722-3401

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Keesling, Mark D, NPSex/Sexo: M811 13th StreetSuite 20Augusta, GA 30901706-722-3401

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Polhill, James, PA-CSex/Sexo: M811 13th StreetSuite 20Augusta, GA 30901706-722-3401

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Rectenwald, Joseph, MDSex/Sexo: M811 13th StreetSuite 20Augusta, GA 30901706-722-3401

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Scherer, Bernard, PASex/Sexo: M811 13th StreetSuite 20Augusta, GA 30901706-722-3401

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Page 28: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Orthopaedic Surgery/Cirugía ortopédica – Richmond County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

27

Specialists/Especialistas

Orthopaedic Surgery/Cirugía ortopédica cont.

Richmond County cont.Watson, Blythe, PASex/Sexo: F811 13th StreetSuite 20Augusta, GA 30901706-724-3401

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Whitaker, Derek, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1220 West Wheeler ParkwayAugusta, GA 30909706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Whitaker, Derek, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1120 15th StreetAugusta, GA 30912706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Washington CountyGaines, Michael D, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes528 Washington Avenue15Sandersville, GA 31082478-552-9402

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

Sat-Sun: Closed

Orthopaedic Surgery: Adult Reconstructive Orthopaedic Surgery/Cirugía ortopédica: Cirugía ortopédica de reconstrución para adultosColumbia CountyMeredith, Randall, MDSex/Sexo: M2511 Associates WaySuite 101Evans, GA 30809706-854-2140

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Orthopaedic Surgery: Hand Surgery/Cirugía ortopédica: Cirugía de la manoColumbia CountyFulcher, Simeon M, MDSex/Sexo: M4300 University ParkwayEvans, GA 30809706-854-3000

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

Sat-Sun: Closed

Richmond CountyFulcher, Simeon M, MDSex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-0650

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

Sat-Sun: Closed

Orthopaedic Surgery: Orthopaedic Surgery of the Spine/Cirugía ortopédica: Cirugía ortopédica de la columna vertebralCrisp CountyBarnard II, Henry H, MDSex/Sexo: M316 16th AvenueSuite BCordele, GA 31015229-273-1730

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

Orthopaedic Surgery: Sports Medicine/Cirugía ortopédica: Medicina deportivaBibb CountyKelham, Steven A, PASex/Sexo: M3708 Northside DriveMacon, GA 31208478-745-4206

2 Y-99 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Otolaryngology/OtolaringologíaAiken CountyAyers, Christopher M, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes170 University ParkwayAiken, SC 29801706-868-5676

0 Y-99 YMon-Fri: 9:00 AM - 4:00 PM,

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

Esselman, Gregory H, MDSex/Sexo: M170 University ParkwayAiken, SC 29801706-868-5676

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

Sat-Sun: Closed

Mcmenamin, Patrick G, MDSex/Sexo: M170 University ParkwayAiken, SC 29801706-868-5676

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

Sat-Sun: Closed

Terris, David J, MDSex/Sexo: M4211 Trolley Line RoadAiken, SC 29801706-721-8623

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

Sat-Sun: Closed

White, Lauren C, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes170 University ParkwayAiken, SC 29801706-868-5676

0 Y-99 YMon-Fri: 9:00 AM - 4:00 PM,

Sat-Sun: Closed

Bibb CountyCorrea, Alejandro J, MDSex/Sexo: M540 Hemlock StreetMacon, GA 31201478-743-8953

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

Sat-Sun: Closed

Duke, Sanford G, MDSex/Sexo: M540 Hemlock StreetMacon, GA 31201478-743-8953

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

Sat-Sun: Closed

Griffin, John W, MDSex/Sexo: M540 Hemlock StreetMacon, GA 31201478-743-8953

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

Sat-Sun: Closed

Holmes, Keith D, MDSex/Sexo: M540 Hemlock StreetMacon, GA 31201478-743-8953

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

Sat-Sun: Closed

Jerles, Matthew L, MDSex/Sexo: M540 Hemlock StreetMacon, GA 31201478-743-8953

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

Sat-Sun: Closed

Columbia CountyLindman, Jonathan P, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes340 North Belair RoadEvans, GA 30809706-868-5676

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

Sat-Sun: Closed

Mcmenamin, Patrick G, MDSex/Sexo: M340 North Belair RoadEvans, GA 30809706-868-5676

0 Y-99 YMon-Fri: 9:00 AM - 4:00 PM,

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

Greene CountyLi, Mingsi, MDSex/Sexo: M2011 Westend DriveGreensboro, GA 30642706-453-9803*Mandarin

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

Sat-Sun: Closed

Houston CountyButler, Nancy N, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes233 North Houston RoadSuite 171Warner Robins, GA 31093478-352-7050

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

Sat-Sun: Closed

Page 29: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

28

Otolaryngology/Otolaringología – Houston County

Specialists/Especialistas

Otolaryngology/Otolaringología cont.

Houston County cont.Correa, Alejandro J, MDSex/Sexo: M6084 Lakeview RoadBuilding B Suite 100Warner Robins, GA 31088478-743-8953

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

Sat-Sun: Closed

Duke, Sanford G, MDSex/Sexo: M6084 Lakeview RoadBuilding B Suite 100Warner Robins, GA 31088478-743-8953

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

Sat-Sun: Closed

Griffin, John W, MDSex/Sexo: M6084 Lakeview RoadBuilding B Suite 100Warner Robins, GA 31088478-743-8953

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

Sat-Sun: Closed

Holmes, Keith D, MDSex/Sexo: M6084 Lakeview RoadBuilding B Suite 100Warner Robins, GA 31088478-743-8953

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

Sat-Sun: Closed

Jerles, Matthew L, MDSex/Sexo: M6084 Lakeview RoadBuilding B Suite 100Warner Robins, GA 31088478-743-8953

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

Sat-Sun: Closed

Laurens CountyMullis, Thomas C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes102 Fairview Park DriveDublin, GA 31021478-272-8382

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

Sat-Sun: Closed

Mullis, Thomas C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes102 Fairview Park DriveDublin, GA 31021478-272-8382

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

Sat-Sun: Closed

Muscogee CountyRhodes, Cecil Bryant, MDSex/Sexo: M2300 Manchester

ExpresswaySuite C003Columbus, GA 31904706-324-7753

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

Sat-Sun: Closed

Rhodes, Cecil Bryant, MDSex/Sexo: M2122 Manchester

ExpresswayColumbus, GA 31904706-320-2773

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

Sat-Sun: Closed

Richmond CountyAyers, Christopher M, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes127 Telfair StreetSuite 201Augusta, GA 30901706-868-5676

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

Sat-Sun: Closed

Esselman, Gregory H, MDSex/Sexo: M720 Saint Sebastian WaySuite 201Augusta, GA 30901706-868-5676

0 Y-99 YMon-Fri: 9:00 AM - 4:00 PM,

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

Li, Mingsi, MDSex/Sexo: M1120 15th StreetAugusta, GA 30912800-736-2273*Mandarin

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

Sat-Sun: Closed

Lindman, Jonathan P, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes720 Saint Sebastian WaySuite 201Augusta, GA 30901706-868-5676

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

Sat-Sun: Closed

Lindman, Jonathan P, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1303 Dantignac StreetSuite 10Augusta, GA 30901706-868-5676

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

Sat-Sun: Closed

Otolaryngology: Pediatric Otolaryngology/Otolaringología: Otolaringología pediátricaRichmond CountyCarroll, William, MDSex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-6100

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Otolaryngology: Sleep Medicine/Otolaringología: Medicina para trastornos del sueñoColumbia CountyLindman, Jonathan P, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes340 North Belair RoadEvans, GA 30809706-868-5676

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

Sat-Sun: Closed

Richmond CountyLindman, Jonathan P, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1303 Dantignac StreetSuite 10Augusta, GA 30901706-868-5676

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

Sat-Sun: Closed

Lindman, Jonathan P, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes720 Saint Sebastian WaySuite 201Augusta, GA 30901706-868-5676

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

Sat-Sun: Closed

Pain Medicine: Interventional Pain Medicine/Medicina contra el dolor: Medicina intervencionista para el dolorColumbia CountyChapel, Melissa, FNPSex/Sexo: F840 Stevens Creek RoadAugusta, GA 30907706-722-6957

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 3:00 PM, Sat-Sun: Closed

Murphy, Megan, PA-CSex/Sexo: F840 Stevens Creek RoadAugusta, GA 30907706-722-6957

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 3:00 PM, Sat-Sun: Closed

Pain Medicine: Pain Medicine/Medicina contra el dolor: Medicina contra el dolorColumbia CountyKey, Erin, FNPSex/Sexo: M840 Stevens Creek RoadAugusta, GA 30907706-722-6957

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 3:00 PM, Sat-Sun: Closed

Mears, Lindsey, NPSex/Sexo: F840 Stevens Creek RoadAugusta, GA 30907706-722-6957

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

Sat-Sun: Closed

Page 30: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Pediatrics/Pediatría – Columbia County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

29

Specialists/Especialistas

Pediatrics/PediatríaColumbia CountyPedigo, Tara K, MDSex/Sexo: F305 West Robinson AvenueGrovetown, GA 30813706-721-8623

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

Sat-Sun: Closed

Jefferson CountyGriffin, Shelley A, MDSex/Sexo: M406 E Broad StreetWrens, GA 30833706-547-7008

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

Sat-Sun: Closed

Muscogee CountyPotini, Neha, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes5555 Whittlesey BoulevardSuite L1Columbus, GA 31909706-507-5577

0 Y-21 YMon-Fri: 4:00 PM - 10:00

PM, Sat-Sun: 10:00 AM - 6:00 PM

Richmond CountyWillard, Jennifer M, MDSex/Sexo: F1220 West Wheeler ParkwayAugusta, GA 30909706-721-3813

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

Sat-Sun: Closed

Willard, Jennifer M, MDSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-0650

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

Sat-Sun: Closed

Pediatrics: Adolescent Medicine/Pediatría: Medicina para adolescentesColumbia CountyRenew, Margaret M, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes4321 University ParkwaySuite 104Evans, GA 30809706-854-2600

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

Sat-Sun: Closed

Richmond CountyLawson, Jamie W, DOSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-8623

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

Sat-Sun: Closed

Pediatrics: Neu-rodevelopmen-tal Disabilities/Pediatría: Dis-capacidades del desarrollo neuro-lógicoRichmond CountyCarter, Karen L, MDSex/Sexo: F1303 Dantignac StreetSuite 2100Augusta, GA 30901706-396-0600

0 M-21 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Pediatrics: Pediatric Hematology-Oncology/Pediatría: Hematología y oncología pediátricaLaurens CountyAmeri, Afshin, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes654 Country Farm RoadDublin, GA 31021478-272-2051*Farsi

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

Sat-Sun: Closed

Physical Medicine & Rehabilitation/Medicina física y rehabilitaciónMuscogee CountyDawson, Gary N., MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes2300 13th StreetSuite AColumbus, GA 31906706-243-7010

0 Y-99 YMon-Thur: 8:00 AM - 5:30

PM, Fri: 8:00 AM - 3:00 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Physical Therapist/FisioterapeutaBibb CountyBryan, Bethanie M, PTSex/Sexo: F1014 Forsyth StreetMacon, GA 31201478-633-2742

0 Y-100 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: 8:00 AM - 5:00 PM

Kirby, Jennifer N, PTSex/Sexo: F1014 Forsyth StreetMacon, GA 31201478-633-2742

0 Y-100 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: 8:00 AM - 5:00 PM

Wilson, Kimberlyn, DPTSex/Sexo: F4660 Riverside Park

BoulevardMacon, GA 31210478-474-2114

0 Y-120 YMon-Fri: 8:30 AM - 5:00 PM,

Sat-Sun: Closed

Columbia CountyCurry, Susan, PTSex/Sexo: F4405 Evans To Locks RoadSuite CEvans, GA 30809706-854-1598

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Stickel, Andrew, PTSex/Sexo: M4405 Evans To Locks RoadSuite CEvans, GA 30809706-854-1598

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Crisp CountyHughes, Kevin D, PTSex/Sexo: M1107 Greer StreetSuite BCordele, GA 31015229-273-9445

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

Muscogee CountyVazquez, Katherine M, DPTSex/Sexo: F2515 Double Churches RoadColumbus, GA 31909706-660-5495

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

Sat-Sun: Closed

Physician Assistant: Surgical/Asistente médico: QuirúrgicoAiken CountySpirl, Jessica L, PA-CSex/Sexo: F325 Georgia AvenueSuite 100North Augusta, SC 29841803-202-3351

0 Y-99 Y

Mon-Fri: 8:30 AM - 7:30 PM, Sat: 9:00 AM - 3:00 PM, Sun: Closed

Bibb CountyBrown, Jeffrey R, PA-CSex/Sexo: M535 Coliseum DriveSuite BMacon, GA 31217478-743-9462

0 M-99 YMon-Sun: 8:00 AM - 5:00 PM

Brown, Jeffrey R, PA-CSex/Sexo: M575 1st StreetMacon, GA 31201478-743-9762

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

Sat-Sun: Closed

Kelham, Steven A, PASex/Sexo: M3708 Northside DriveMacon, GA 31208478-745-4206

2 Y-99 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Richmond CountyBoomgarden, Hannah, PASex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Page 31: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

30

Physician Assistant: Surgical/Asistente médico: Quirúrgico – Richmond County

Specialists/Especialistas

Physician Assistant: Surgical/Asistente médico: Quirúrgico cont.

Richmond County cont.Fritz, Renee, PASex/Sexo: M1348 Walton WatSuite 5700Augusta, GA 30901706-722-8242

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

Sat-Sun: Closed

Meassick, Jennifer C, PASex/Sexo: F3651 Wheeler RaodAugusta, GA 30909706-651-3232*Spanish

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

Sat-Sun: Closed

Meassick, Jennifer C, PASex/Sexo: F3651 Wheeler RoadAugusta, GA 30909706-863-9595*Spanish

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

Sat-Sun: Closed

Plastic Surgery/Cirugía plásticaColumbia CountyLynn, Billy P, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes4350 Towne Center DriveSuite 1400Evans, GA 30809706-651-8400

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

Sat-Sun: Closed

Greene CountyLima, Maria helena, MDSex/Sexo: F1000 Cowles Clinic WaySuite A-400Greensboro, GA 30642706-721-8623

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

Podiatrist/PodiatraColumbia CountyNadarajah, Janaki, DPMSex/Sexo: F462 Furys Ferry RoadAugusta, GA 30907706-868-0319*Tamil

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Richmond CountyKinney, Kile, DPMSex/Sexo: M1515 Laney Walker

BoulevardAugusta, GA 30904706-724-7000

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Podiatrist: Foot & Ankle Surgery/Podiatra: Cirugía del pie y tobilloBibb CountyLako, Steven, DPMSex/Sexo: M2180 Vineville AvenueMacon, GA 31204478-742-3631

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

Sat-Sun: Closed

Greene CountyMenke, Christopher R,

DPMSex/Sexo: M1031 Village Park DriveSuite 103Greensboro, GA 30642706-999-9994

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

Sat-Sun: Closed

Houston CountyLako, Steven, DPMSex/Sexo: M134 Hospital DriveWarner Robins, GA 31088478-922-4021

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

Sat-Sun: Closed

Laurens CountyLako, Steven, DPMSex/Sexo: M303 Industrial BoulevardDublin, GA 31021478-742-3631

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

Podiatrist: Foot Surgery/Podiatra: Cirugía del pieBibb CountyLako, Steven, DPMSex/Sexo: M2180 Vineville AvenueMacon, GA 31204478-742-3631

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

Sat-Sun: Closed

Houston CountyLako, Steven, DPMSex/Sexo: M134 Hospital DriveWarner Robins, GA 31088478-922-4021

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

Sat-Sun: Closed

Laurens CountyLako, Steven, DPMSex/Sexo: M303 Industrial BoulevardDublin, GA 31021478-742-3631

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

Podiatrist: Primary Podiatric Medicine/Podiatra: Medicina podiátrica primariaBurke CountyOttinger, Mary, DPMSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes351 Liberty StreetWaynesboro, GA 30830706-554-2877

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

Sat-Sun: Closed

Columbia CountyOttinger, Mary, DPMSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes4434 Columbia RoadSuite 106Martinez, GA 30907706-868-3265

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

Sat-Sun: Closed

Richmond CountyKronowski, Kent E, DPMSex/Sexo: M1515 Laney Walker

BoulevardAugusta, GA 30904706-724-7000

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Ottinger, Mary, DPMSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1519 Laney Walker

BoulevardAugusta, GA 30904706-724-1224

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

Sat-Sun: Closed

Ottinger, Mary, DPMSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1515 Laney Walker

BoulevardAugusta, GA 30904706-724-7000

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

Sat-Sun: Closed

Podiatrist: Sports Medicine/Podiatra: Medicina deportivaGreene CountyMenke, Christopher R,

DPMSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1031 Village Park DriveSuite 103Greensboro, GA 30642706-999-9994

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

Sat-Sun: Closed

Psychiatry & Neurology: Neurology/Psiquiatría y neurología: NeurologíaBibb CountyKratzer, Joseph Harold, MDSex/Sexo: M777 Hemlock StreetMacon, GA 31201478-633-1000

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

Sat-Sun: Closed

Page 32: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Psychiatry & Neurology: Neurology/Psiquiatría y neurología: Neurología – Bibb County

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

31

Specialists/Especialistas

Psychiatry & Neurology: Neurology/Psiquiatría y neurología: Neurología cont.

Bibb County cont.Porter, John A, MDSex/Sexo: M777 Hemlock StreetMacon, GA 31201478-633-9436

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

Sat-Sun: Closed

Greene CountyMcswain, Angela S, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1110 Commerce DriveSuite 108Greensboro, GA 30642706-310-1859

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

Sat-Sun: Closed

Richmond CountyBlevins, John D, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1350 Walton WayAugusta, GA 30901706-774-5995

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Kim, Elizabeth, MDSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Pilcher, Grace A, MDSex/Sexo: F1350 Walton WayAugusta, GA 30901706-774-7022

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Troup CountyOlango, Weredeselam M,

MDSex/Sexo: M303 Medical DriveSuite 401Lagrange, GA 30240706-242-5161

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

Sat-Sun: Closed

Olango, Weredeselam M, MD

Sex/Sexo: M1514 Vernon RoadLagrange, GA 30240706-242-5161

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

Sat-Sun: Closed

Psychiatry & Neurology: Pain Medicine/Psiquiatría y neurología: Medicina contra el dolorMuscogee CountyDawson, Gary N., MDSex/Sexo: M2300 13th StreetSuite AColumbus, GA 31906706-243-7010

0 Y-99 YMon-Thur: 8:00 AM - 5:30

PM, Fri: 8:00 AM - 3:00 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Psychiatry & Neurology: Psychiatry/Psiquiatría y neurología: PsiquiatríaHouston CountyElkington, William T, MDSex/Sexo: M1108 Ross Clark CircleDothan, AL 36301334-699-8111

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

Sat-Sun: Closed

Psychologist/PsicólogoColumbia CountySurya, Sandarsh, PLMHPSex/Sexo: M587 Furys Ferry RoadAugusta, GA 30907706-721-8623

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Richmond CountyEvans, Lance F, PhDSex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-3042

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

Sat-Sun: Closed

Radiology: Body Imaging/Radiología: Imágenes del cuerpoRichmond CountyDasher, Byron G, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1120 15th StreetAugusta, GA 30912706-721-3042

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Panzitta, Karen, MDSex/Sexo: F1120 15th StreetAugusta, GA 30912706-721-0650

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

Sat-Sun: Closed

Radiology: Radiation Oncology/Radiología: Radiación oncológicaRichmond CountyDasher, Byron G, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1120 15th StreetAugusta, GA 30912706-721-3042

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Morris, Amber J, PA-CSex/Sexo: F3624 J Dewey Gray CircleSuite 100Augusta, GA 30909706-721-2971

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

Sat-Sun: Closed

Radiology: Vascular & Interventional Radiology/Radiología: Radiología intervencionista vascularRichmond CountyMarnell JR, Eugene R, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1350 Walton WayAugusta, GA 30901706-722-9011

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Weingarten, Karl E, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1350 Walton WayAugusta, GA 30901706-722-9011

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Speech-Language Pathologist/Patólogo del habla y del lenguajeMuscogee CountyCordell, Margaret, SLPSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Cromer, Laura, SLPSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Page 33: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

32

Speech-Language Pathologist/Patólogo del habla y del lenguaje – Muscogee County

Specialists/Especialistas

Speech-Language Pathologist/Patólogo del habla y del lenguaje cont.

Muscogee County cont.Falk, Cindy S, SLPSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Jones-callicutt, Quasheba, SLP

Sex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Kight, Stefanie, SLPSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Mcfarland, April R, SLPSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Miller, Leah B, SLPSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Mulvany, Malynda, SLPSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Pate, Mary E, SLPSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Sigman, Rebecca H, SLPSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Sprouse, Lauren, SLPSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Webster, Andrea H, AUDSex/Sexo: F2424 Double Churches RoadColumbus, GA 31909706-324-6112

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Surgery/CirugíaBaldwin CountyJones, Ashley, MDSex/Sexo: F1217 North Columbia DriveMilledgeville, GA 31061478-633-6600

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

Sat-Sun: Closed

Long, Eric L, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1217 North Columbia DriveMilledgeville, GA 31061478-633-1458

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

Sat-Sun: Closed

Bibb CountyBurnette, Joseph J, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes420 Charter BoulevardSuite 302Macon, GA 31210478-330-6755

0 Y-99 YMon: 8:00 AM - 5:00 PM,

Tue-Fri: 9:00 AM - 5:00 PM, Sat-Sun: Closed

Hetzler, Norman A, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes350 Hospital DriveMacon, GA 31217478-765-7000

12 Y-99 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Hetzler, Norman A, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes380 Hospital DriveBuilding A Suite 320Macon, GA 31217478-742-5331

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

Sat-Sun: Closed

Columbia CountyCarlson, Chris C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes3830 Washington RoadMartinez, GA 30907706-774-7365

0 M-99 Y

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

Hammond, Dena M, PA-CSex/Sexo: F840 Stevens Creek RoadAugusta, GA 30907706-722-6957

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 8:00 AM - 3:00 PM, Sat: 8:00 AM - 5:00 PM, Sun: Closed

Houston CountyRowell, Michelle F, NPSex/Sexo: F1601 Watson BoulevardWarner Robins, GA 31093478-743-9762

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

Sat-Sun: Closed

Rowell, Michelle F, NPSex/Sexo: F1020 Keith DrivePerry, GA 31069478-633-1458

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

Sat-Sun: Closed

Richmond CountyBardoner, James Christo-

pher, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1350 Walton WayAugusta, GA 30901706-722-9011

0 Y-100 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Faler, Byron J, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1430 Harper StreetBuilding BAugusta, GA 30901706-724-5451

0 Y-100 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: 8:00 AM - 5:00 PM

Jenkins, Barry J, MDSex/Sexo: M1348 Walton WaySuite 6500Augusta, GA 30901706-722-2118

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

Sat-Sun: Closed

Kilbourne, Michael J, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1003 Chafee AvenueAugusta, GA 30901706-724-8623

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

Sat-Sun: Closed

Meassick, Jennifer C, PASex/Sexo: F3651 Wheeler RaodAugusta, GA 30909706-651-3232*Spanish

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

Sat-Sun: Closed

Meassick, Jennifer C, PASex/Sexo: F3651 Wheeler RoadAugusta, GA 30909706-863-9595*Spanish

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

Sat-Sun: Closed

Rice, Robert D, MDSex/Sexo: M1003 Chafee AvenueAugusta, GA 30901706-724-8623

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

Sat-Sun: Closed

Wills, Edward, DOSex/Sexo: M1430 Harper StreetSuite BAugusta, GA 30901706-724-5451

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

Sat-Sun: Closed

Zimmerman, Stephanie M, PA

Sex/Sexo: F3651 Wheeler RoadAugusta, GA 30909706-863-9595

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

Sat-Sun: Closed

Page 34: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

33

Specialists/Especialistas

Surgery: Plastic and Reconstructive Surgery/Cirugía: Cirugía plástica y reconstructiva – Columbia County

Surgery: Plastic and Reconstructive Surgery/Cirugía: Cirugía plástica y reconstructivaColumbia CountyEwart, Christopher J, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes569 Fury’s Ferry RoadMartinez, GA 30907706-724-5611

0 Y-100 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Lynn, Billy P, MDSex/Sexo: M4350 Towne Center DriveSuite 1400Evans, GA 30809706-651-8400

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

Sat-Sun: Closed

Richmond CountySonnenberg, Sheila, NPSex/Sexo: F3651 Wheeler RaodAugusta, GA 30909706-863-9595

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

Sat-Sun: Closed

Sonnenberg, Sheila, NPSex/Sexo: F3651 Wheeler RoadAugusta, GA 30909706-863-9595

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

Sat-Sun: Closed

Surgery: Surgical Oncology/Cirugía: Oncología quirúrgicaColumbia CountyArora, Taranjit K, MDSex/Sexo: F303 West Robinson ParkwayGrovetown, GA 30813706-446-4493

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Greene CountyArora, Taranjit K, MDSex/Sexo: F1000 Cowles Clinic WaySuite A-400Greensboro, GA 30642706-721-8623

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedVinyard, Alicia H, DOSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1000 Cowles Clinic WaySuite A-400Greensboro, GA 30642706-721-8623

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

Richmond CountyVinyard, Alicia H, DOSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1350 Walton WayAugusta, GA 30901706-721-3813

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedYoung, Shelley, PASex/Sexo: F818 Saint Sebastian WaySuite 104Augusta, GA 30901706-434-0130

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

Sat-Sun: Closed

Surgery: Trauma Surgery/Cirugía: Cirugía traumatológicaColumbia CountyWhite, Cassandra Q, MDSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes4300 University ParkwayEvans, GA 30809706-854-3000

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Surgery: Vascular Surgery/Cirugía: Cirugía vascularRichmond CountyMoon, Christopher M, PASex/Sexo: M1350 Walton WayAugusta, GA 30901706-722-9011

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Reid, Jennifer, NPSex/Sexo: F1348 Walton WaySuite 5700Augusta, GA 30901706-774-7022

0 Y-99 YMon-Fri: 8:30 AM - 4:30 PM,

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)/Cirugía torácica (Cirugía vascular cardiotorácica)Bibb CountyBrown, Jeffrey R, PA-CSex/Sexo: M575 1st StreetMacon, GA 31201478-743-9762

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

Sat-Sun: Closed

Brown, Jeffrey R, PA-CSex/Sexo: M535 Coliseum DriveSuite BMacon, GA 31217478-743-9462

0 M-99 YMon-Sun: 8:00 AM - 5:00 PM

Hetzler, Norman A, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes350 Hospital DriveMacon, GA 31217478-765-7000

12 Y-99 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Hetzler, Norman A, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes380 Hospital DriveBuilding A Suite 320Macon, GA 31217478-742-5331

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

Sat-Sun: Closed

Houston CountyStockdale, Lori H, PA-CSex/Sexo: FBoard Certified/Certificado

por la Junta: Yes1812 E Main StreetDothan, AL 36301334-792-5190

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

Sat-Sun: Closed

Peach CountyEarly SR, Michael W, MDSex/Sexo: M201 Avera DriveFort Valley, GA 31030478-825-3317

0 Y-120 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Richmond CountyEllington, Christopher, MDSex/Sexo: M1348 Walton WatSuite 5700Augusta, GA 30901706-722-8242

0 Y-120 YMon-Fri: 8:00 AM - 4:30 PM,

Sat-Sun: Closed

Foster, James A, MDSex/Sexo: M1120 15th StreetAugusta, GA 30912706-721-4588

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

Sat-Sun: Closed

Gallo, Dominic, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1003 Chafee AvenueAugusta, GA 30904706-721-8623

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

Sat-Sun: Closed

Kilbourne, Michael J, MDSex/Sexo: M1003 Chafee AvenueAugusta, GA 30901706-724-8623

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

Sat-Sun: Closed

Rice, Robert D, MDSex/Sexo: M1003 Chafee AvenueAugusta, GA 30901706-724-8623

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

Sat-Sun: Closed

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Specialists/Especialistas

Transplant Surgery/Cirugía de trasplante – Laurens County

Transplant Surgery/Cirugía de trasplanteLaurens CountyLynch, Raymond J, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes200 Fairview Park DriveDublin, GA 31021844-255-7989

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

Sat-Sun: Closed

Urology/UrologíaBaldwin CountySmith, Rachelle, NPSex/Sexo: F1217 North Columbia DriveMilledgeville, GA 31061478-453-7516

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

Sat-Sun: Closed

Velimirovich, Boris, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1217 North Columbia DriveMilledgeville, GA 31061478-633-6600

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

Sat-Sun: Closed

Columbia CountyCain, Mark Lenon, MDSex/Sexo: M4350 Towne Center DriveSuite 2200Evans, GA 30809706-722-0705

0 Y-99 YMon-Fri: 8:00 AM - 3:45 PM,

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

Goodwin, Henry North, MDSex/Sexo: M4350 Towne Center DriveSuite 2200Evans, GA 30809706-722-0705

0 Y-99 YMon-Fri: 8:00 AM - 3:45 PM,

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

Kay, James, MDSex/Sexo: M4350 Towne Center DriveSuite 2200Evans, GA 30809706-722-0705

0 Y-99 YMon-Fri: 8:00 AM - 3:45 PM,

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

Laurens CountyHayes, Edward E, MDSex/Sexo: M100 Medical DriveSuite 200Dublin, GA 31021478-272-2707

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

Sat-Sun: Closed

Muscogee CountyJarrell, Todd, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1538 13th AvenueSuite AColumbus, GA 31901706-323-4000

0 Y-99 YMon-Sat: 8:00 AM - 5:00 PM,

Sun : Closed

Mccall, Charles S, MDSex/Sexo: M1831 5th AvenueColumbus, GA 31904706-320-8700

10 Y-100 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Sigman, Hollis C, MDSex/Sexo: MBoard Certified/Certificado

por la Junta: Yes1538 13th AvenueSuite AColumbus, GA 31901706-323-4000

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

Sat-Sun: Closed

Urology: Pediatric Urology/Urología: Urología pediátricaRichmond CountyMorganstern, Bradley, MDSex/Sexo: M1120 15th StreetAugusta, GA 30912706-724-6100

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

Sat-Sun: Closed

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

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35

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

Baldwin County

Federally Qualified Health Centers (FQHCs)/Centros de salud certificados por el

gobierno federal

Self-Referred Service Providers/Proveedores de servicios con autoreferencia

Baldwin CountyMilledgeville111 Fieldstone DriveSuite 114Milledgeville, GA 31061478-414-1414

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedRiverEdge60 Ga Highway 22 WMilledgeville, GA 31061706-453-1201

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedTendercare Clinic Inc111 Fieldstone DriveSuite 114Milledgeville, GA 31061478-414-1414,

770-464-0280

Mon-Sun: 8:00 AM - 5:00 PMTenderCare of River Edge60 Ga Highway 22 WMilledgeville, GA 31061706-453-1201,

478-414-1414

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

Bibb CountyFirst Choice Primary Care

Inc174 Walnut StreetMacon, GA 31201478-787-4266

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedFirst Choice Primary Care

Inc770 Walnut StreetMacon, GA 31208478-787-4266

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedFirst Choice Primary Care

Inc770 Walnut StreetMacon, GA 31201478-787-4266

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

Bleckley CountyCochran Medical Center148 East Peacock StreetCochran, GA 31014478-934-4988

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

Burke CountyMedical Associates Plus

Keysville480 Martin Luther King Jr

RoadSuite BKeysville, GA 30816762-994-0902

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

Chattahoochee CountySouthwest Georgia Health215 McNaughton StreetCusseta, GA 31805706-989-1050

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

Crisp CountyAlbany Area Primary Health

Care, Inc330 Old Hatley RoadCordele, GA 31015229-947-6191

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedCareconnect Health, Inc.602 E 16th AvenueSuite ACordele, GA 31015229-271-9330

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedCareconnect Health, Inc.116 E 4th AvenueCordele, GA 31015229-276-3038

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedCareconnect Health, Inc.215 E 13th AvenueCordele, GA 31015229-276-0100

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

Crisp Urgent Care & Medical Center

602 East 16th AvenueSuite BCordele, GA 31015229-271-9330

Mon-Sun: 9:00 AM - 8:00 PMCrisp Urgent Care and

Medical Center602 East 16th AvenueSuite BCordele, GA 31015229-271-9330

Mon-Sun: 9:00 AM - 8:00 PMMary Williams FNPC216 Hospital DriveCordele, GA 31015229-271-9330

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedSouthwest Georgia Health636 Second Avenue SWArabi, GA 31712229-276-3100

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedSouthwest Georgia Health216 Hospital DriveCordele, GA 31015229-271-9330

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

Dodge CountyBlake Milner MD1111 Griffin AvenueSuite 1BEastman, GA 31023478-374-8998

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

Practice and Pediatrics817 Griffin AvenueEastman, GA 31023478-374-1801

Mon-Fri: 8:30 AM - 5:00 PM, Sat-Sun: ClosedMiddle Georgia Pediatrics725 Legion DriveEastman, GA 31023478-374-1801

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

Dooly CountyAlbany Area Primary Health

Care, IN1212 E Union StreetVienna, GA 31092229-268-8865

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedAlbany Area Primary Health

Care, Inc11949 Ushwy 41Pinehurst, GA 31070229-405-6234

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedAlbany Area Primary Health

Care, Inc11949 US Highway 41Pinehurst, GA 31070229-947-6194

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedSouthwest Georgia Health1212 E Union StreetVienna, GA 31092229-268-8865

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

Emanuel CountyEast Georgia Healthcare

Cen. Inc215 N Coleman StreetSwainsboro, GA 30401478-237-6262

Mon-Sun: 8:00 AM - 5:00 PM

Greene CountyGreensboro803 S Main StreetGreensboro, GA 30642706-453-1201

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedLake Oconee1041 Park DriveGreensboro, GA 30642706-453-4945

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedTendercare Clinic Inc803 South Main StreetGreensboro, GA 30642706-453-1201

Mon-Sun: 8:00 AM - 5:00 PM

Tendercare Clinic Inc5401 Lake Oconee Parkway

Greensboro Ga 30642Greensboro, GA 30642706-453-1201

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

Jefferson CountyNeighborhood

Improvement Project501 E Broad StreetWrens, GA 30833706-547-2559

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

Improvement Project501 East Broad StreetWrens, GA 30833706-547-2559*Spanish

Mon-Fri: 9:00 AM - 5:00 PM, Sat-Sun: Closed

Jenkins CountyEast Georgia Healthcare

Cen. Inc1075 E Winthrop AvenueMillen, GA 30442478-249-1200

Mon-Sun: 8:00 AM - 5:00 PM

Lamar CountyYourTown Health101 Commerce PlaceSuite 1Barnesville, GA 30204770-358-4408

Mon: 8:00 AM - 5:00 PM, Tue: 11:00 AM - 7:00 PM, Wed: 8:00 AM - 5:00 PM, Thur: 9:00 AM - 6:00 PM, Fri: 8:00 AM - 12:00 PM, Sat-Sun: Closed

Macon CountySouthwest Family Practice300 Medical CourtOglethorpe, GA 31068478-458-9942

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

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Self-Referred Service Providers/Proveedores de servicios con

autoreferencia

Federally Qualified Health Centers (FQHCs)/ Centros de salud certificados por el gobierno federalMuscogee County

Muscogee CountyFortson Medical & Dental94 McCrary RoadFortson, GA 31808706-987-8216*Spanish

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedValley Healthcare System,

Inc.341 N Washington AvenueColumbus, GA 31903706-665-2585

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

Peach CountyByron Medical Center218 Ga Highway 49 NSuite AByron, GA 31008478-956-5002

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

Richmond CountyMedical Associates Plus1111 Garredd BoulevardSuite AAugusta, GA 30909706-863-6674

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedMedical Associates Plus3623 J Dewey Gray CircleSuite 107Augusta, GA 30909706-498-3424

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

Improvement Project Inc1111 Garredd BoulevardAugusta, GA 30909706-863-6674

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

Neighborhood Improvement Project Inc

1111 Garredd BoulevardSuite AAugusta, GA 30906706-790-4440

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

Improvement Project Inc1115 Garredd BoulevardAugusta, GA 30906706-790-4440

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

Improvement Project Inc1115 Garredd BoulevardAugusta, GA 30909706-736-2273

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

Improvement Project Inc2300 Wrightsboro RoadAugusta, GA 30904706-737-3948

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

Taylor CountyButler Medical Center80 West Main StreetButler, GA 31006478-862-5453

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

Upson CountySouthwest Georgia Health

Care Inc101 Deluxe CircleSuite BThomaston, GA 30286706-647-7509

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

Wilcox CountyRochelle Medical Center636 2nd Avenue SWRochelle, GA 31079229-365-2570

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

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

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Self-Referred Service Providers/Proveedores de servicios con autoreferenciaBurke County

Rural Health Centers (RHCs)/Centro de salud rurales

Burke CountyBurke County Hospital311 W 4th StreetWaynesboro, GA 30830706-554-2176

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

Crisp CountyPSC of Cordele415 E 4th AvenueSuite CCordele, GA 31015229-273-7443

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

Emanuel CountyEmanuel County Hospital

Authority131 A Victory DriveSuite ASwainsboro, GA 30401478-289-1100

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedSwainsboro Healthcare305 Kite RoadSwainsboro, GA 30401478-237-2144

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

Houston CountyR J Taylor Memorial Hosp

DBA1012 Highway 247 SKathleen, GA 31047478-783-4075

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

Pulaski CountyR J Taylor Memorial Hosp

DBA222 Perry Highway Building

BSuite 205Hawkinsville, GA 31036478-783-0200

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

R J Taylor Memorial Hospital

222 Perry Highway Building A

Suite 104Hawkinsville, GA 31036478-892-9670

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

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

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Clinic/Center/Clínica/Centro – Emanuel County

38

Self-Referred Service Providers/Proveedores de servicios con

autoreferencia

Clinic/Clínica

Clinic/Center/Clínica/CentroEmanuel CountyEmanuel County Hospital

Authority dba Emanuel OBGY

125B Victory DriveSwainsboro, GA 30401478-289-3190

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedEmanuel OBGYN117 Kite RoadCovena, GA 30401478-289-3190

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedEmanuel OBGYN115 South Racetrack StreetCovena, GA 30401478-289-3190

Mon-Thur: 8:00 AM - 5:00 PM, Fri: 8:00 AM - 12:00 PM, Sat-Sun: ClosedEmanuel Wound Care117 Kite RoadSwainsboro, GA 30401478-289-1000

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

Clinic/Center: Public Health, State or Local/Clínica/Centro: Salud pública, estatal o localBleckley CountyBleckley County Health

Department152 North Eighth StreetCochran, GA 31014478-934-8729

Mon-Sun: 8:00 AM - 5:00 PM

Pulaski CountyPulaski County Health Dept81 North Lumpkin StreetHawkinsville, GA 31036478-783-1361

Mon-Sun: 8:00 AM - 5:00 PM

Community/Behavioral Health/Salud comunitaria y del comportamientoMuscogee CountyColumbus Metro

Treatement Center1135 13th StreetColumbus, GA 31901706-887-5030

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

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

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Self-Referred Service Providers/Proveedores de servicios con autoreferenciaCounselor: Mental Health/Consejero: Salud mental – Houston County

Mental Health/Substance Abuse/ Salud mental y abuso de

sustancias químicas

Counselor: Mental Health/Consejero: Salud mentalHouston CountyHill, Kimberly, LPCSex/Sexo: F404 Corder RoadSuite 100Warner Robins, GA 31088478-322-1113

18 Y-65 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: Closed

Counselor: Professional/Consejero profesionalBibb CountyWilson, Jacquelin, LPCSex/Sexo: F144 Pierce AvenueMacon, GA 31204478-475-4608

5 Y-99 YMon: 9:00 AM - 12:30 PM,

Tue: 2:00 PM - 8:00 PM, Wed: Closed, Thur: 9:00 AM - 8:00 PM, Fri: 9:00 AM - 5:00 PM, Sat-Sun: Closed

Columbia CountyMccarthy, Wesley, LPCSex/Sexo: M3711 Executive Center DriveSuite 201Martinez, GA 30907803-295-0995

8 Y-75 YMon-Thur: 8:00 AM - 8:00

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

Muscogee CountyHorton, Larinda, PCSex/Sexo: F1520 22nd StreetColumbus, GA 31901706-223-1933

0 Y-120 YMon-Fri: 8:30 AM - 5:30 PM,

Sat: By Appointment, Sun: Closed

Horton, Larinda, PCSex/Sexo: F5700 Veterans ParkwayColumbus, GA 31904706-223-1933

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

Sat-Sun: Closed

Hutto, Katie, LPCSex/Sexo: F5700 Veterans ParkwayColumbus, GA 31904706-221-3222

0 M-99 YMon-Fri: 9:00 AM - 6:00 PM,

Sat-Sun: Closed

Physician Assistant/Asistente médicoBibb CountyBrown, Jeffrey R, PA-CSex/Sexo: M535 Coliseum DriveSuite BMacon, GA 31217478-743-9462

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Houston CountyBrown, Jeffrey R, PA-CSex/Sexo: M1601 Watson BoulevardWarner Robins, GA 31093478-743-9762

0 Y-99 YMon-Sun: 9:00 AM - 5:00 PM

Physician Assistant: Medical/Asistente médico: MédicoBibb CountyMegran, Glen A, PA-CSex/Sexo: M840 Pine StreetSuite 500Macon, GA 31201478-633-8682

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Patel, Hiral S, PASex/Sexo: FBoard Certified/Certificado

por la Junta: Yes840 Pine StreetSuite 500Macon, GA 31201478-633-8682

0 Y-100 YMon-Fri: 9:00 AM - 5:00 PM,

Sat-Sun: 8:00 AM - 5:00 PM

Psychiatry & Neurology: Neurology/Psiquiatría y neurología: NeurologíaHouston CountyJennart, Frederick W, DOSex/Sexo: M212 Hospital DriveSuite-NWarner Robins, GA 31088912-922-6698

0 Y-100 YMon-Sun: 8:00 AM - 5:00 PM

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

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40

Self-Referred Service Providers/Proveedores de servicios con

autoreferenciaDentist: General Practice/Dentista: Medicina general – Bibb County

Routine Dental Services/Servicios dentales de rutina

All non-routine dental care such as oral surgery, will require a referral from your PCP and prior authorization from Peach State Health Plan./Toda atención que no sea de rutina, como la cirugía de la cavidad oral, exige que el paciente sea referido por su proveedor de atención primaria (PCP) y mediante autorización previa del plan de salud Peach State.

Dentist: General Practice/Dentista: Medicina generalBibb CountyCarver-harper, Kimberly,

DMDSex/Sexo: F1386 Gray HighwayMacon, GA 31211404-591-5665

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

Sat-Sun: Closed

Dhanani, Milan, DMDSex/Sexo: M160 Pierce AvenueMacon, GA 31204478-743-0901

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri-Sun: Closed

Ware, James J, DMDSex/Sexo: M1536 Eisenhower ParkwayMacon, GA 31206478-781-4333

0 Y-99 YMon-Thur: 7:30 AM - 6:00

PM, Fri-Sun: Closed

Laurens CountyDhanani, Milan, DMDSex/Sexo: M109 Fairview Park DriveSuite ADublin, GA 31021478-275-7551

0 Y-21 YMon-Thur: 8:00 AM - 5:30

PM, Fri-Sun: Closed

Dixon, Jennifer M, DMDSex/Sexo: F109 Fairview Park DriveSuite ADublin, GA 31021404-478-8785

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri-Sun: Closed

Stevens, Jennifer O, DDSSex/Sexo: F109 Fairview Park DriveSuite ADublin, GA 31021404-478-8785

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri-Sun: Closed

Monroe CountyDhanani, Milan, DMDSex/Sexo: M120 N Lee StreetSuite DForsyth, GA 31029478-743-0901

0 Y-18 YMon-Thur: 8:00 AM - 5:00

PM, Fri-Sun: Closed

Fall, Christopher C, DDSSex/Sexo: M120 N Lee StreetSuite DForsyth, GA 31029478-743-0901

0 Y-18 YMon-Thur: 8:00 AM - 5:00

PM, Fri-Sun: Closed

Richmond CountyAlford, Tameko L, DDSSex/Sexo: M1631 Gordon HighwaySuite 22Augusta, GA 30906478-550-0894

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

Sat-Sun: Closed

George, Jessica A, DMDSex/Sexo: F1631 Gordon HighwaySuite 22Augusta, GA 30906478-550-0894

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

Sat-Sun: Closed

Manhiani, Maninder, DMD1631 Gordon HighwaySuite 22Augusta, GA 30906478-550-0894

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

Sat-Sun: Closed

Patel, Carol A, DMDSex/Sexo: F1631 Gordon HighwaySuite 22Augusta, GA 30906478-550-0894

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

Sat-Sun: Closed

Tong, Tuan, DMDSex/Sexo: M1631 Gordon HighwaySuite 22Augusta, GA 30906478-550-0894

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

Sat-Sun: Closed

Dentist: Pediatric Dentistry/Dentista: Odontología pediátricaColumbia CountyMiller, Phillip H, DMDSex/Sexo: M104 Kings Chapel RoadAugusta, GA 30907706-860-2244

1 Y-21 YMon-Thur: 8:00 AM - 5:00

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

Macon CountyCimino, Peter, DDSSex/Sexo: M297 Medical CourtOglethorpe, GA 31068478-472-2325

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri-Sun: Closed

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

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41

Self-Referred Service Providers/Proveedores de servicios con autoreferencia

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

Eyewear Supplier (Equipment, not the service)/Proveedor de artículos para la vista (solo artículos, no servicios) – Houston County

Routine Vision Services/Servicios de la vista de rutina

Eyewear Supplier (Equipment, not the service)/Proveedor de artículos para la vista (solo artículos, no servicios)Houston CountyVisionworks2745 Watson BoulevardWarner Robins, GA 31093478-953-1993

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

Muscogee CountyVisionworks 4896783 Veterans ParkwaySuite 100Columbus, GA 31909706-323-0260

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

Richmond CountyVisionworks3456 Wrightsboro Road

Unit CAugusta, GA 30909706-733-4786

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

Ophthalmology/OftalmologíaCrisp CountyEyesight Associates1011 N 4th StreetCordele, GA 31015229-273-0435

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

Johnson, Jackie H, MDSex/Sexo: M1011 N 4th StreetCordele, GA 31015229-273-0435*Spanish

12 Y-99 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Houston CountyEyesights Laser and

Surgery220 Corder RoadWarner Robins, GA 31088478-922-5015

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedGayton, Johnny L, MDSex/Sexo: M100 Spillers WayWarner Robins, GA 31088478-923-5872

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

Sat-Sun: Closed

Gayton, Johnny L, MDSex/Sexo: M220 Corder RoadWarner Robins, GA 31088478-922-5015

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

Sat-Sun: Closed

Johnson, Jackie H, MDSex/Sexo: M100 Spillers WayWarner Robins, GA 31088478-923-5872*Spanish

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

Sat-Sun: Closed

Johnson, Jackie H, MDSex/Sexo: M220 Corder RoadWarner Robins, GA 31088478-922-5015*Spanish

16 Y-99 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Schneider, Henry G, MDSex/Sexo: M100 Spillers WayWarner Robins, GA 31088478-923-5872

5 Y-99 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Optometrist/OptometristaBibb CountyMyEyeD Optometry of

Georgia LLCr3801 Northside DriveMacon, GA 31210478-475-1600

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedClements, Dale J, ODSex/Sexo: F5080 Riverside DriveSuite 326Macon, GA 31210478-477-0323

0 Y-99 YMon-Fri: 9:00 AM - 7:00 PM,

Sat: 9:00 AM - 6:00 PM, Sun: Closed

Dowdell, Richard E, ODSex/Sexo: M3801 Northside DriveMacon, GA 31210610-444-5252*Spanish

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

Sat-Sun: Closed

Kurtz, Brian E, ODSex/Sexo: M3801 Northside DriveMacon, GA 31210478-475-1600

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

Sat: 8:00 AM - 12:00 PM, Sun: Closed

Patel, Vixit, ODSex/Sexo: M5080 Riverside DriveSuite 326Macon, GA 31210478-477-0323

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

Sat-Sun: Closed

Smith, Misti S, ODSex/Sexo: F3801 Northside DriveMacon, GA 31210478-475-1600*Spanish

0 Y-99 YMon-Fri: 9:00 AM - 7:00 PM,

Sat: 9:00 AM - 4:00 PM, Sun: Closed

Taylor, Steven K, ODSex/Sexo: M5451 Bowman RoadSuite 420Macon, GA 31210478-750-7830

6 Y-99 YMon-Fri: 8:30 AM - 5:30 PM,

Sat-Sun: Closed

Crisp CountyBryant, Mark L, ODSex/Sexo: M1011 N 4th StreetCordele, GA 31015229-273-0435*Spanish

12 Y-99 YMon-Fri: 8:00 AM - 5:00 PM,

Sat-Sun: Closed

Cofie, Jeffrey N, ODSex/Sexo: M1011 N 4th StreetCordele, GA 31015229-273-0435

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

Sat-Sun: Closed

Dooly CountyDooly County School

Based Health Center11949 US Highway 41Pinehurst, GA 31070229-947-6194

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedS Trussell Medical Center1212 E Union StreetVienna, GA 31092229-268-8865

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

Kurtz, Brian E, ODSex/Sexo: M11949 US Highway 41Pinehurst, GA 31070229-947-6194

0 Y-99 YMon: 8:00 AM - 12:00 PM,

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

Kurtz, Brian E, ODSex/Sexo: M1212 E Union StreetVienna, GA 31092229-268-8865

0 Y-99 YMon: 1:00 PM - 5:00 PM,

Tue: 8:00 AM - 5:00 PM, Wed: 1:00 PM - 5:00 PM, Thur: 8:00 AM - 5:00 PM, Fri: 8:00 AM - 3:00 PM, Sat-Sun: Closed

Harris CountyPine Mountain Eye Care414 S Main AvenuePine Mountain, GA 31822706-663-2600

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedSmith, Mark P, ODSex/Sexo: M414 S Main AvenuePine Mountain, GA 31822706-663-2600

0 Y-99 YMon-Thur: 8:00 AM - 5:00

PM, Fri: 9:00 AM - 5:00 PM, Sat-Sun: Closed

Houston CountyRobins Eye Care Llc334 Margie DriveWarner Robins, GA 31088478-953-1000

Mon-Fri: 8:30 AM - 5:30 PM, Sat-Sun: ClosedBryant, Mark L, ODSex/Sexo: M100 Spillers WayWarner Robins, GA 31088478-923-5872*Spanish

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

Sat-Sun: Closed

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42

Routine Vision Services/Servicios de la vista de rutina

Self-Referred Service Providers/Proveedores de servicios con

autoreferenciaOptometrist/Optometrista – Houston County

Optometrist/Op-tometrista cont.

Houston County cont.Cofie, Jeffrey N, ODSex/Sexo: M100 Spillers WayWarner Robins, GA 31088478-923-5872

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

Sat-Sun: Closed

Cofie, Jeffrey N, ODSex/Sexo: M216 Corder RoadWarner Robins, GA 31088478-923-5872

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

Sat-Sun: Closed

Kannan, Anitha, ODSex/Sexo: F334 Margie DriveWarner Robins, GA 31088478-953-1000*Tamil

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

Sat-Sun: Closed

Summerow, Stephen D, ODSex/Sexo: M100 Spillers WayWarner Robins, GA 31088478-923-5872*Spanish

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

Sat-Sun: Closed

Muscogee CountySmith, Mark P, ODSex/Sexo: M6600 Whittlesey BoulevardBuilding AColumbus, GA 31909706-323-3491

0 Y-99 Y

Mon-Thur: 8:30 AM - 5:00 PM, Fri: 8:30 AM - 12:00 PM, Sat-Sun: Closed

Peach CountyCofie, Jeffrey N, ODSex/Sexo: M440 Taylor Mill RoadFort Valley, GA 31030478-825-8223

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

Sat-Sun: Closed

Smith, Paul R, ODSex/Sexo: M440 Taylor Mill RoadFort Valley, GA 31030478-825-8223

0 Y-99 Y

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

Summerow, Stephen D, ODSex/Sexo: M440 Taylor Mill RoadFort Valley, GA 31030478-825-8223*Spanish

0 Y-99 YMon-Tue: 8:00 AM - 5:00

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

Upson CountyDR Thomas Kretzmer Od406 W Main StreetThomaston, GA 30286706-647-6608

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedKretzmer, Thomas M, ODSex/Sexo: M406 W Main StreetThomaston, GA 30286706-647-6608

0 Y-99 YMon-Tue: 8:30 AM - 4:30

PM, Wed: 8:00 AM - 5:00 PM, Thur-Fri: 8:30 AM - 4:30 PM, Sat-Sun: Closed

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

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Clinic/Center/Clínica/Centro – Emanuel County

43

Ancillary/Auxiliar

Clinic/Center/Clínica/CentroEmanuel CountyEmanual OB/GYN115 South Race Track StreetSwainsboro, GA 30401770-227-5505

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedEmanual OB/GYN117 Kite RoadSwainsboro, GA 30401770-227-5505

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

Jefferson CountyNorth Jefferson Medical Ctr406 East Broad StreetWrens, GA 30833706-547-7008

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

Clinic/Center: End-Stage Renal Disease (ESRD) Treatment/Clínica/Centro: Tratamiento de la enfermedad renal en etapa terminal (ESRD)Muscogee CountyFresenius Kidney Care

Columbus Home711 Talbotton RoadColumbus, GA 31904678-354-6430,

999-999-9999

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

Clinic/Center: Rural Health/Clínica/Centro: Atención médica en áreas ruralesEmanuel CountyEmmanuel County Hospital

Authority401 West Main StreetSwainsboro, GA 30401478-289-1100

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

Jefferson CountyMedical Specialists INC406 E Broad StreetWrens, GA 30833706-547-7008

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

Jenkins CountyJenkins County Hospital961 E Winthrope AvenueMillen, GA 30442478-982-0120

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedOPTIM PRIMARY CARE -

Jenkins961 East Winthrope AvenueMillen, GA 30442478-982-9081

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

Clinic/Center: Urgent Care/Clínica/Centro: Atención médica urgenteTroup CountyUrgencare, LLC2169 West Point RoadSuite 300Lagrange, GA 30240706-668-5140

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

Durable Medical Equipment & Medical Supplies/Equipo médico duradero y suministros médicosBibb CountySleepwell, LLC215 Sheraton BoulevardSuite 1Macon, GA 31210478-254-2657

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

Muscogee CountySleepwell, LLC1821 Whittlesey RoadSuite 200Columbus, GA 31904706-327-5512

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

Pulaski CountyTaylor Sales & Rentals222 Perry HighwayHawkinsville, GA 31036478-783-0327,

478-783-0292

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

Durable Medical Equipment & Medical Supplies: Parenteral & Enteral Nutrition/Equipo médico duradero y suministros médicos: Nutrición parenteral y enteralBibb CountyHealth Products Plus684 First StreetMacon, GA 31201229-888-5874

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

Home Health/Atención Médica en el hogarMuscogee CountyGeorgia Homecare of

Harris LLC1000 Brookstone Centre

ParkwaySuite 2Columbus, GA 31904706-324-7498,

337-233-1307

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

Pulaski CountyTaylor Home Health Care188 Perry HighwaySuite 1Hawkinsville, GA 31036478-783-0327

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

Hospice Care, Community Based/Cuidados paliativos, basados en la comunidadRichmond CountyAugusta Home Care

Services LLC1212 Augusta West ParkwaySuite 2AAugusta, GA 30909706-729-6000

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedAugusta Home Care

Services LLC1212 Augusta West ParkwaySuite 2BAugusta, GA 30909706-729-6000

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

Skilled Nursing Facility/Institución de enfermería especializadaPulaski CountyPinewood Manor Nursing

Home and Rehabilitation Center

2227 Commerce StreetHawkinsville, GA 31036478-892-9171,

478-627-3213

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

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

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44

Aiken County

Pharmacy/Farmacia

Aiken CountyKroger Pharmacy1284 Knox AvenueNorth Augusta, SC 29841803-442-4510

Mon-Fri: 9:00 AM - 9:00 PM, Sat: 9:00 AM - 7:00 PM, Sun: 11:00 AM - 7:00 PMPublix Pharmacy #0486334 East Martintown RoadNorth Augusta, SC 29841803-441-3906

Mon-Fri: 9:00 AM - 9:00 PM, Sat: 9:00 AM - 7:00 PM, Sun: 11:00 AM - 6:00 PM

Barbour CountyBuy Rite Drugs542 South EufaulaEufaula, AL 36027334-687-0021

Mon-Fri: 8:00 AM - 6:00 PM, Sat: 8:00 AM - 1:00 PM, Sun: ClosedBuy Rite Drugs # 14146 E Broad StreetEufaula, AL 36027334-687-3591

Mon-Fri: 8:00 AM - 4:00 PM, Sat: 8:00 AM - 1:00 PM, Sun: ClosedWalmart Pharmacy 10-16383176 S EufaulaEufaula, AL 36027334-687-2338

Mon-Fri: 9:00 AM - 9:00 PM, Sat: 9:00 AM - 7:00 PM, Sun: 10:00 AM - 6:00 PMWinn Dixie1055 S Eufaula AvenueEufaula, AL 36027334-687-8781

Mon-Fri: 8:00 AM - 8:00 PM, Sat: 9:00 AM - 5:00 PM, Sun: 11:00 AM - 5:00 PM

Barnwell CountyCVS Pharmacy #075089912 Dunbarton BoulevardBarnwell, SC 29812803-259-3649

Mon-Fri: 9:00 AM - 9:00 PM, Sat: 9:00 AM - 6:00 PM, Sun: 10:00 AM - 6:00 PM

Burke CountyCLARK DRUG COMPANY206 W 6th StreetWaynesboro, GA 30830706-558-3400

Mon-Fri: 8:30 AM - 6:30 PM, Sat: 9:00 AM - 2:00 PM, Sun: Closed

Cherokee CountyCVS Pharmacy #04863101 Chestnut BypassCentre, AL 35960256-927-4346

Mon-Fri: 7:30 AM - 8:00 PM, Sat: 9:00 AM - 6:00 PM, Sun: 10:00 AM - 6:00 PM

Edgefield CountyBanks Pharmacy100 Ridge Medical PlazaSuite 101Edgefield, SC 29824803-637-5757

Mon-Fri: 9:00 AM - 6:00 PM, Sat: 9:00 AM - 12:00 PM, Sun: Closed

Emanuel CountyEast Georgia Community

Pharmacy215 N Coleman StreetSuite 100Swainsboro, GA 30401478-349-8145

Mon: 8:00 AM - 7:30 PM, Tue-Fri: 8:00 AM - 5:30 PM, Sat-Sun: Closed

Greenwood CountyCVS Pharmacy #041731302 Highway 72 221 EastGreenwood, SC 29649864-223-1891

Mon-Fri: 8:00 AM - 9:00 PM, Sat: 9:00 AM - 6:00 PM, Sun: 10:00 AM - 6:00 PMCVS Pharmacy #055791337 South Main StreetGreenwood, SC 29646864-223-7956

Mon-Fri: 8:00 AM - 9:00 PM, Sat: 9:00 AM - 6:00 PM, Sun: 10:00 AM - 6:00 PM

Houston CountyCVS Pharmacy #048781955 E Main StreetDothan, AL 36301334-794-7798

Mon-Fri: 8:00 AM - 9:00 PM, Sat: 9:00 AM - 8:00 PM, Sun: 9:00 AM - 6:00 PMCVS Pharmacy #049191270 West Main StreetDothan, AL 36301334-793-2372

Mon-Fri: 8:00 AM - 8:00 PM, Sat: 9:00 AM - 8:00 PM, Sun: 10:00 AM - 6:00 PMKroger Specialty Infusion

AL2511 Ross Clark CircleDothan, AL 36301334-794-1126

Mon-Fri: 8:00 AM - 5:00 PM, Sat-Sun: ClosedUS Bioservices2811 Horace Shepard DriveSuite 100Dothan, AL 36303877-900-7365

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

Lexington CountyCVS Pharmacy #03578120 West Columbia AvenueBatesburg, SC 29006803-532-5564

Mon-Fri: 8:00 AM - 9:00 PM, Sat: 9:00 AM - 6:00 PM, Sun: 10:00 AM - 6:00 PM

Muscogee CountyCommunity Health

Pharmacy2100 Comer AvenueSuite 2295Columbus, GA 31904706-321-3700

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

Midtown710 Center Street S41Columbus, GA 31901706-571-1993

Mon-Fri: 7:00 AM - 6:00 PM, Sat-Sun: 1:00 PM - 5:00 PM

Regional Hope Pharmacy1831 5th AvenueSuite 150Columbus, GA 31904706-321-6600

Mon-Fri: 8:30 AM - 5:00 PM, Sat-Sun: ClosedSams Pharmacy 10-82135448 Whittlesey BoulevardSuite AColumbus, GA 31909706-649-6322

Mon-Fri: 9:00 AM - 7:00 PM, Sat: 9:00 AM - 6:00 PM, Sun: Closed

Putnam CountyWalmart Pharmacy 10-5482201 Walmart DriveEatonton, GA 31024706-485-4536

Mon-Fri: 8:00 AM - 9:00 PM, Sat: 9:00 AM - 7:00 PM, Sun: 10:00 AM - 6:00 PM

Randolph CountyWalmart Pharmacy 10-08634180 US Highway 431Roanoke, AL 36274334-863-6148

Mon-Fri: 9:00 AM - 9:00 PM, Sat: 9:00 AM - 7:00 PM, Sun: 10:00 AM - 6:00 PM

Russell CountyU Save It Pharmacy #181108 13th StreetPhenix City, AL 36867334-298-8390

Mon-Fri: 10:00 AM - 6:00 PM, Sat-Sun: ClosedWalmart Pharmacy 10-12843700 US Highway 431 NPhenix City, AL 36867334-291-1814

Mon-Fri: 9:00 AM - 9:00 PM, Sat: 9:00 AM - 7:00 PM, Sun: 10:00 AM - 6:00 PM

Patient Centered Medical Home — NCQA Certified. 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 médico en la pantalla de Telehealth está ubicado.

Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación). Un sitio de presentación es donde el miembro va para una visita

de telehealth. Established patients only/Los pacientes establecidos sólo Not accepting new patients/No aceptando nuevos a pacientes Restrictions/Restricciones *Language(s) spoken other than English/Idiomas además de inglés Facility can accommodate wheelchairs/La instalación puede acomodar sillas de ruedas

Mon/lun Tues/mar Wed/miér Thurs/jue Fri/vier Sat/sáb Sun/dom

Page 46: TABLE OF CONTENTS Primary Care Providers...A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentación)

45

Index / Índice

AAbdullah, Siraj F, MD ........... 14Abell, Brian, DO ................... 26Adasofunjo, Matthew O,

MBBCH ............................ 15Ajebo, Germame Hailegiorgis,

MD .............................. 15, 18Alappan, Devica V, MD .......... 9Albany Area Primary Health

Care, IN ............................ 35Albany Area Primary Health

Care, Inc ........................... 35Alford, Tameko L, DDS ........ 40Allen, Jennifer T, MD ...... 22, 23Ameri, Afshin, MD ................ 29Anderson, Geraldine J, FNP .. 4Arora, Taranjit K, MD ........... 33Arora, Vishal, MD ................. 16Arrington, Terry L, MD ......... 26Atkins, Miriam Y, MD ........... 19Atkinson, Ashley, FNP ....... 6, 7Augusta Home Care Services

LLC ................................... 43Austin, Travis, DMD ............. 11Ayers, Christopher M, MD .. 27,

28

BBaer ellington, Christopher B,

MD .................................... 15Baggaley, Brittany, PA ......... 15Bahr, Evan C, MD ................ 23Bailey, Sara, PA ..................... 5Baman, Rakesh I, MD .......... 16Banks Pharmacy ................. 44Barco, Angela M, NP ........... 21Bardoner, James Christopher,

MD .................................... 32Barfield, Caitlyn, OT ............ 25Barfield, William, MD ........... 23Barnard II, Henry H,

MD ........................ 20, 26, 27Barnes, Holly, NP ................ 22Barroso, Angela R, MD .......... 8Bartosh, Robert A, MD ........ 26Baysinger, Katherine, MD .... 11Beasley, Erinn N, FNP ........... 7Beaver, Jami, NP ................. 16Benson, Krista, PA ............... 17Bieltz, John B, DO ............... 26Blake Milner MD .................. 35Blakeney, Rashawn M,

MD .................................... 13Bleckley County Health

Department ...................... 38Blevins, John D, MD ............ 31Blount, Kelly, PA ............ 3, 4, 5Boatright, Truitt S, MD ........... 8Boomgarden, Hannah, PA ... 29Bradish, Vanessa, FNP .. 4, 5, 7Brakta, Soumia, MD ............ 23Brands, Patricia M, MD ....... 23Brannen II, Alfred L, MD ...... 19Breeden, Amanda L, PA ...16, 20Brown, Briana, NP ......... 21, 22Brown, Bruce, MD ............... 25Brown, Cassandra, FNP ..16, 22Brown, Charneika C, NP ..... 17Brown II, Ronald, MD .......... 18Brown, Jeffrey R, PA-C ....... 29,

33, 39Bryan, Bethanie M, PT ........ 29Bryant, Mark L, OD .............. 41Buchanan, Michelle E, NP ..... 6Buchner, Sarah M, AUD ...... 11Burke County Hospital ........ 37Burnette, Joseph J, MD ...... 32Burt, Victoria, FNP ......... 16, 22Bush iii III, Stanley S, MD .. 3, 8

Butler Medical Center .......... 36Butler, Nancy N, MD ............ 27Buy Rite Drugs .................... 44Buy Rite Drugs # 14 ............ 44Byron Medical Center .......... 36

CCain, Mark Lenon, MD ........ 34Campbell, Jennifer M s, NP... 8Carbone, Laura D, MD ........ 20CareConnect Family Practice

and Pediatrics .................. 35Careconnect Health, Inc. ..... 35Carlson, Chris C, MD........... 32Carroll, William, MD ............. 28Carter, Karen L, MD ......... 9, 29Carter, Larry W, MD ............. 26Carver-harper, Kimberly,

DMD ................................. 40Cawley, Christopher J, MD .... 9Cawthon, Annie, NP ............ 20Cellino, Alice F, AUD ............ 11Chance, Camilla, MD ........... 23Chand, Gotam, MD ....... 13, 15Chandra, Prakul, MD ............. 4Chapel, Melissa, FNP .... 21, 28Cheape, John Dudley, MD... 11Cheeks, Eddie R, MD .......... 23Christian, Johnny, MD ....... 4, 8Christie, Theresa L, MD ....... 23Christopher, Marjorie, FNP .. 14Chua, Mark andrew C,

NP............................... 21, 22Cimino, Peter, DDS .............. 40Clapp, John S, MD .............. 26Clark, David M, MD ............. 17CLARK DRUG COMPANY ... 44Clark, Edward K, MD ............. 9Clements, Ashley H, AUD .... 11Clements, Dale J, OD .......... 41Clifton, James D, DO ............. 4Cochran Medical Center ..... 35Cofer, Hannah, FNP ........... 6, 7Cofie, Jeffrey N, OD....... 41, 42Collingsworth, Teddy,

FNP ............................ 22, 26Columbus Metro Treatement

Center ............................... 38Community Health

Pharmacy ......................... 44Cordell, Margaret, SLP ........ 31Correa, Alejandro J, MD ...27, 28Cravey, Amy E, NP ............ 4, 7Crisp Urgent Care and Medical

Center ............................... 35Crisp Urgent Care & Medical

Center ............................... 35Cromer, Laura, SLP ............. 31Crosby, Joseph, PA ........... 5, 6Cunningham, William E, MD .. 6Curry, Susan, PT .................. 29Cushman, Clay, PA .............. 19CVS Pharmacy #03578 ....... 44CVS Pharmacy #04173 ....... 44CVS Pharmacy #04863 ....... 44CVS Pharmacy #04878 ....... 44CVS Pharmacy #04919 ....... 44CVS Pharmacy #05579 ....... 44CVS Pharmacy #07508 ....... 44Cyrus, Jordan Elizabeth,

AUD .................................. 11

DDasher, Byron G, MD ........... 31David, Alice K, MD............... 18Davis, Kepler A, MD ............ 18Davis, Michael A, MD .......... 26Dawson, Gary N., MD .... 29, 31Deas, Willie, MD .................. 15Dejunco, Joseph E, MD ....... 16

Demediuk, Oksana M, MD .. 25Derrick, Rosetta, FNP .... 16, 22Desai, Nitin R, MD ................. 6Dhaliwal, Ranjit S, MD ......... 25Dhanani, Milan, DMD .......... 40Diller, Rebecca, PA .............. 19Dixon, Jennifer M, DMD ...... 40Dixon-milner, Joni R, NP ... 8, 9Dooly County School Based

Health Center ................... 41Doshi, Vaishali, MBBS ......... 18Dowdell, Richard E, OD ....... 41DR Thomas Kretzmer Od .... 42Duke, Sanford G, MD .... 27, 28

EEarly SR, Michael W, MD .. 5, 33East Georgia Community

Pharmacy ......................... 44East Georgia Healthcare Cen.

Inc ..................................... 35Edwards, Miranda, MD .......... 4Egan, Shannon, PA .............. 19Eldick, Dalal, MD ................. 23Elkington, William T, MD ...... 31Ellington, Christopher, MD... 33Ellis, Daryl Arthur, MD .......... 14Ellison, Steven B, MD .......... 18Elmore, Julius B, MD ........... 19Emanual OB/GYN ................ 43Emanuel County Hospital

Authority ........................... 37Emanuel County Hospital

Authority dba Emanuel OBGY ............................... 38

Emanuel OBGYN ................. 38Emanuel Wound Care .......... 38Emmanuel County Hospital

Authority ........................... 43Esselman, Gregory H, MD .. 27,

28Etinge, Bie M, DO .................. 6Evans, Lance F, PhD ............ 31Ewart, Christopher J, MD .... 33Eyesight Associates ............ 41Eyesights Laser and

Surgery ............................. 41

FFaler, Byron J, MD ............... 32Falk, Cindy S, SLP ............... 32Fall, Christopher C, DDS ..... 40Farris, Rory C, MD ............... 26Fechter, Herbert P, MD ........ 25First Choice Primary Care

Inc ..................................... 35Flanders, Aaron, MD ...... 18, 19Florentino, Frances M, MD .. 12Flynn, Mary, MD ...... 17, 18, 20Ford, Jessica T, MD ............... 9Ford, Ryan M, MD ......... 18, 20Foreman, Chiquita, NP .......... 7Fortson Medical & Dental .... 36Fortson, Monica H, MD ....... 23Foster, James A, MD ........... 33Franklin, Samuel G, MD ...... 15Freedman, Murray, MD ........ 24Fresenius Kidney Care

Columbus Home .............. 43Fritz, Renee, PA ................... 30Fritz, Sarah, AUD ................. 11Fulcher, Simeon M, MD ....... 27Fuseell, Corey, MD ................ 7

GGaines, Michael D, MD ........ 27Gallo, Dominic, MD ............. 33Gamblin, Patrick, PA............ 26Gardner, Beau, MD .............. 25

Garner, Edward Clark, MD... 19Gay, Heywood K, MD ... 13, 14,

15Gayton, Johnny L, MD ........ 41Geise, John S, PA ................ 13George, Jessica A, DMD ..... 40Georgia Homecare of Harris

LLC ................................... 43Gibson, Miranda, OT ........... 25Giddens, Mary, NP ................ 9Glynn, Leonard C, PA .......... 13Goel, Ankur, MD .................. 11Goodwin, Henry North,

MD .................................... 34Graham, Sherri J, FNP ...... 3, 7Gray JR, W Wilson, MD ......... 8Greensboro .......................... 35Griffin, John W, MD ....... 27, 28Griffin, Shelley A, MD .......... 29Grundfast, Matthew B, DO .. 18Gupta, Sandeepkumar

Jagdishbmai, MD ....... 15, 23

HHagin, La-sho’ndra,

NP............................... 16, 22Hale, Alexandra, OT ............ 25Hammond, Dena M, PA-C ... 32Harris JR, Dennis H, MD ....... 9Hartman, April L, MD ............. 8Haubert, Matthew S, OD ..... 25Hayes, Edward E, MD ......... 34Health Products Plus ........... 43Heinz SR, Erich R, MD ........ 12Henderson, Deanna, MD ..... 17Hendley, Hillary, PA .............. 17Henson, Christopher E, MD .. 6Henson, Stephan, PA .......... 17Hertza, Jeremy B, PSYD

HSPP ................................ 11Herzwurm, Paul J, MD......... 26Hetzler, Norman A, MD .. 32, 33Hevia paez, Pedro,

CNP ............................ 16, 22Hill, Kimberly, LPC ............... 39Hogg, Leigh ann, PA ............ 26Holmes, Keith D, MD ..... 27, 28Hooks III, Vendie, MD .......... 11Hooks, Shelby, AUD ............ 11Horne, Oliver, MD ................ 15Horton, Larinda, PC ............. 39House, Kristin Jane, PA ....... 15Hudson, John K, MD ........... 18Huffman, Bradford, DMD ..... 11Hughes, Kevin D, PT ........... 29Hutto, Katie, LPC................. 39

IIrwin, Laura S, MD ............... 24

JJackson, Joseph L, MD ..... 3, 4Jain, Manish, MD ................. 24Jarrell, Todd, MD ................. 34Jenkins, Barry J, MD ..... 11, 32Jenkins County Hospital ..... 43Jenkins, Millicent A, FNP .... 12,

13, 21, 22Jennart, Frederick W, DO .... 39Jennings, Kimberly, NP ....... 12Jerles, Matthew L, MD .. 27, 28Jiang, Peter Q, MD .............. 18Johnson, Jackie H, MD ....... 41Johnson, Michael J, MD ...... 16Johnson, Ray Edward, MD .. 17Jones, Ashley, MD ............... 32Jones-callicutt, Quasheba,

SLP ................................... 32Jones, Keilah W, NP .............. 9

Jones SR, Jefferson C, MD ... 4Jones, Susan L, MD .............. 5Jordan, Benjamin, PA .......... 26

KKabbani, Ahmad A, MD ....... 19Kacsoh, Gabriella R, MD ....... 9Kadiyala, Deepak, MD ......... 19Kampe, Doris, MD ............... 15Kang, Yao, MD .................... 15Kannan, Anitha, OD ............. 42Kao, Shih Yin anna, MD....... 25Kao, Timothy P, MD ............. 25Kay, James, MD .................. 34Keaton, Mark R, MD ...... 18, 19Keesling, Mark D, NP .......... 26Kelham, Steven A, PA ... 25, 27,

29Kelly, Patrick, MD .............. 6, 7Key, Erin, FNP................ 21, 28Khiani, Kailash, MD ............. 13Kight, Stefanie, SLP ............ 32Kilbourne, Michael J,

MD .............................. 32, 33Kim, Elizabeth, MD .............. 31Kinnebrew, Lindsay S, MD .... 9Kinney, Kile, DPM ................ 30Kinsey JR, Timothy R, MD .... 9Kirby, Jennifer N, PT ............ 29Klindukhova, Olena I, MD .... 17Knight, Kelly Y, NP ............... 21Kota, Vamsi K, MBBS .......... 18Kratzer, Joseph Harold,

MD .................................... 30Kretzmer, Thomas M, OD .... 42Kroger Pharmacy ................. 44Kroger Specialty Infusion

AL ..................................... 44Kronowski, Kent E, DPM ..... 30Kulkarni, Varsha Anant,

MD .................................... 19Kumar, Geetanjali, MD ........... 5Kurtz, Brian E, OD ............... 41

LLahouse, William R, MD ...14, 16Lake Oconee ....................... 35Lako, Steven, DPM .............. 30Lane, Joshua E, MD ............ 12Langan, Ankita B, MD ......... 23Lavigne, William E, MD ........ 23Lawal, Folake, MBBS .......... 18Lawrence, Mallory Andrew,

MD .................................... 11Lawson, Jamie W, DO ..7, 9, 29Lee, Emily, PA ...................... 12Lemke, Jimmy V, MD ......... 5, 6Lett, Patrick W, MD ............. 26Lima, Maria helena, MD....... 30Limbaugh, Brent H, MD ...... 14,

18, 19Li, Mingsi, MD ............... 27, 28Lindman, Jonathan P, MD .. 27,

28Link, Matthew, MD .............. 26Lockwood, James C, MD .... 25Lokkesmoe, Kevin D, MD .... 13Long, Eric L, MD .................. 32Long III, Eugene M, MD ..15, 19Lowery, Lori S, NP ............. 8, 9Lukman, Hatim, MD ............ 24Lyday II, William D, MD ....... 18Lynch, Raymond J, MD ....... 34Lynn, Billy P, MD ............ 30, 33

MMachado, Claudio, MD ......... 8Maddox rane, Ashley L, PA .. 26Manhiani, Maninder, DMD ... 40

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Index / Índice

46

Manning, Chelsea, PA ......... 20Marnell JR, Eugene R, MD .. 31Mary Williams FNPC ............ 35Mathis, Byron, PA .................. 3Mayo, Dana L, MD ................. 9Mcafee, Marvin T, PA ........... 13Mccall, Charles S, MD ......... 34Mccarthy, Wesley, LPC ........ 39Mcclarin, Gina N, FNP ........... 8Mccutcheon, Kathryn C,

MD ...................................... 9Mcdonough, Jean Paul,

MD .............................. 23, 24Mcdonough, Michel, MD....23,

24Mcdowell, Ashley E, PA ....... 17Mcfarland, April R, SLP ....... 32Mcgee, Tracy S, MD ............ 26Mcmenamin, Patrick G,

MD .................................... 27Mcswain, Angela S, MD ...... 31Meagher, Lindsey, FNP...... 7, 8Mears, Lindsey, NP ............. 28Meassick, Jennifer C,

PA ............................... 30, 32Mecredy, Timothy E, MD ..... 18Medical Associates Plus ..... 36Medical Associates Plus

Keysville ........................... 35Medical Specialists INC ...... 43Megran, Glen A, PA-C ......... 39Menke, Christopher R,

DPM ................................. 30Meredith, Randall, MD ......... 27Middle Georgia Pediatrics ... 35Milledgeville ......................... 35Miller, Devin, MD ................. 24Miller, Jeremiah Allan, MD ... 12Miller, Leah B, SLP .............. 32Miller, Phillip H, DMD ........... 40Mims, Tanya Lynn, FNP ..21, 22Mitchell, Jamie, PA .............. 20Moltz, Kimberly G, OT ......... 25Montero, Freddy J, MD ....... 25Moon, Christopher M, PA .... 33Moore, Steven M, PA ........... 10Moorman, Drew, MD ............. 9Morgan-gibbs, Carla L,

MD .................................... 24Morgan, Jennifer B, MD ...... 24Morganstern, Bradley, MD .. 34Morris, Amber J, PA-C ........ 31Morris, Kacee, PA ................ 24Morris, Stephanie, APRN .. 5, 8Mudano, Mark L, MD .......... 26Mulleins-foreman, Ramona J,

FNP .................................. 13Mullis, Tabitha, NP ............... 16Mullis, Thomas C, MD ......... 28Mulvany, Malynda, SLP ....... 32Murphy, Megan, PA-C ......... 28Myers, Alison, OT ................ 25MyEyeD Optometry of Georgia

LLCr .................................. 41

NNadarajah, Janaki, DPM ...... 30Neighborhood Improvement

Project .............................. 35Neighborhood Improvement

Project Inc ........................ 36Neumann, William, MD .......... 7Newman, Danny, MD ............. 7Nicholson, Matthew S,

MD .............................. 15, 17Nicholson, Tonya B, CNM .. 11,

23Nix, Ashley, FNP ................ 3, 7Nix, Cynthia, MD ................. 25Norman, Kelly P, MD ...... 23, 24

North Jefferson Medical Ctr..................................... 43

Nusrat, Faheem B, MD ........ 14

OOates, Lashawn K, NP ........ 22Oglesby, Julie, FNP ............. 21Okoye, Cynthia C, MD ......... 15Olango, Weredeselam M,

MD .................................... 31O’neal, Kyle, DDS ................ 11OPTIM PRIMARY CARE -

Jenkins ............................. 43Oshea, Kevin J, MD ............. 26O’shields, Deborah, MD ...23, 24Ottinger, Mary, DPM ............ 30

PPanzitta, Karen, MD............. 31Parker, Julieann S, MD .. 23, 24Patel, Carol A, DMD ............ 40Patel, Falguni, PA .......... 3, 4, 5Patel, Hiral S, PA ................. 39Patel, Misti B, MD ................ 22Patel, Vixit, OD .................... 41Pate, Mary E, SLP ............... 32Payne, Donna M, MD ............ 9Peacock, Michael T, MD ........ 6Pedigo, Tara K, MD ............. 29Penn, Daniel E, MD ............. 17Pennock, Rachael, AUD ...... 11Pethke, Scott Daniel, MD .... 19Phanthok, Tenzing, MD ......... 7Phillips, Douglas R, MD ....... 26Piedmont Pharmacy -

Midtown ........................... 44Pilcher, Grace A, MD ........... 31Pilcher, James W, MD .......... 15Pine Mountain Eye Care ...... 41Pinewood Manor Nursing

Home and Rehabilitation Center ............................... 43

Pintavorn, Vanitcha R, MD .. 11Pippas, Andrew W, MD ....... 19Pitts, Samuel, DO ................ 26Pleming, Brandi, FNP ... 13, 21,

22Poisson, William T, NP ......... 20Polhill, James, PA-C ............ 26Ponce alvarez, Mario C,

MD .................................... 19Porter, John A, MD .............. 31Potini, Neha, MD ................. 29Powell, Alison, NP ................. 3Prince, Bobby D, MD ........... 26PSC of Cordele .................... 37Publix Pharmacy #0486 ...... 44Pulaski County Health

Dept .................................. 38Purcell, Kimberly S, NP ..... 8, 9Pye, Caitlin, NP.................... 17Pye, Robert G, NP ......... 16, 20

QQuarles, James, MD ............ 12

RRabinovitz, Harold Steven,

MD .................................... 12Rabun, Chasity G, NP ......... 22Raines, Erica, NP ................. 17Raley, Susanna S, MD ......... 24Ray, James L, MD ................. 4Rectenwald, Joseph, MD .... 26Reed, Lyudmila M,

FNP .......... 12, 13, 14, 21, 22Regional Hope Pharmacy .... 44Reid, Jennifer, NP ................ 33Renew, Margaret M, MD...... 29

Rhoades, Adam N, PA ......... 19Rhodes, Cecil Bryant, MD ... 28Rice, Robert D, MD ....... 32, 33Richardson, Elizabeth,

PA ................................... 5, 6Rios-corujo, Walter, MD ........ 8Rivera, Sallie, NP ............... 3, 7RiverEdge ............................ 35R J Taylor Memorial Hosp

DBA .................................. 37R J Taylor Memorial

Hospital ............................ 37Roberts, Jo B, NP.............. 8, 9Robins Eye Care Llc ............ 41Roccaro, Giorgio, MD .......... 18Rochelle Medical Center ..... 36Rowell, Michelle F, NP ... 22, 32

SSabb, Ashley Turman, NP.... 22Sams Pharmacy 10-8213 .... 44Sanders, Harvey J, MD ....... 15Scarborough, Charles, MD .... 9Schafer, Pascha E, MD .. 16, 17Scherer, Bernard, PA ........... 26Schneibel, Erik, MD ............. 16Schneider, Henry G, MD ...... 41Schulte, David A, DO ..... 14, 16Scoggins, Jennie B, MD .. 9, 10Scott, Daniel, DMD .............. 25Serrano, Tania, MD ........ 23, 24Servy, Edouard, MD............. 25Sheppard, James C, MD ... 4, 6Sherwood, Bozeman K, MD .. 5Shirley, Teresa, OTR-L ......... 25Sigman, Hollis C, MD .......... 34Sigman, Rebecca H, SLP .... 32Silva, Wilantha, FNP ............ 22Singh gill, Harmeet, MD ...... 16Slade, Lance E, MD ............... 9Slater, Amy, PA .................... 17Sleepwell, LLC ..................... 43Smith, Carrie L, NP ............ 8, 9Smith, Kumud, MD .............. 16Smith, Mark P, OD ......... 41, 42Smith, Mary, FNP .............. 3, 7Smith, Misti S, OD ............... 41Smith, Paul R, OD ............... 42Smith, Rachelle, NP............. 34Smith, Ryan T, MD ............... 25Smith, Thomas C, MD ......... 14Sonnenberg, Sheila, NP ...... 33Southwest Family Practice .. 35Southwest Georgia Health .. 35Southwest Georgia Health

Care Inc ............................ 36Spirl, Jessica L, PA-C .......... 29Sprouse, Lauren, SLP.......... 32Stanley, Christopher A,

PA-C ................................. 17Staples, Kathryn D, OT ........ 25Steinwachs, Paul R, MD ........ 9Stephenson, Julia, PA-C ..16, 19Stevens, Jennifer O, DDS .... 40Stevens, Richard L, MD ......... 6Stewart, Stephanie W .......... 11Stickel, Andrew, PT ............. 29Stockdale, Lori H, PA-C ...... 33S Trussell Medical Center .... 41Summerow, Stephen D,

OD .................................... 42Surya, Sandarsh, PLMHP .... 31Swainsboro Healthcare ....... 37

TTalkington, Emily N, NP ......... 7Taneous, Mary, MD .............. 14Tanner, Stacy, PA ........... 15, 16Tate, Stefanie S, NP....... 7, 8, 9Tayag, Maria, MD................... 6

Taylor, Delisha B, NP ............. 8Taylor Home Health Care .... 43Taylor, Kit, PA ....................... 20Taylor Sales & Rentals ......... 43Taylor, Steven K, OD ............ 41Tendercare Clinic Inc ........... 35TenderCare of River Edge ... 35Terris, David J, MD .............. 27Thakore, Morgan W, MD...... 12Thaxton, Paul, MD ............... 23Thomas, Ashli, NP ................. 6Tidwell, Serena, MD ............ 23Tierney, Chasity Christina,

NP..................................... 22Tift, William L, MD ................. 9Titus, Hamer, MD ................. 20Tojino, Samantha M, FNP .... 22Tolaymat, Omar Amed,

MD .................................... 20Tong, Tuan, DMD ................. 40Topiwala, Shehzad Mehboob,

MD .................................... 17Toussaint, William N, MD ..... 23Towner, Susan B, NP ..12, 13, 14Trotter, William, DMD ........... 25Turullols, Sylvia D, MD ..... 3, 13

UUrgencare, LLC ................... 43U Save It Pharmacy #18 ...... 44US Bioservices .................... 44

VValley Healthcare System,

Inc. .................................... 36Varghese, Benoy, MD ............ 6Varkey, Santosh C, MD ........ 17Vazquez, Katherine M,

DPT................................... 29Velimirovich, Boris, MD ....... 34Vinyard, Alicia H, DO ........... 33Visionworks ......................... 41Visionworks 489 .................. 41Vivas, Jaime, MD ................. 20

WWaddall, Chad, PA ............... 14Wages, Timber R, PA-C ....... 13Wallentine, Brett, MD ............. 4Walmart Pharmacy

10-0863 ............................ 44Walmart Pharmacy

10-1284 ............................ 44Walmart Pharmacy

10-1638 ............................ 44Walmart Pharmacy

10-5482 ............................ 44Walters, Colleen, NP............ 22Walters, Gordon, MD ........... 19Wang, Sheng Yi, MD ............. 7Ware, Debra J, MD .............. 24Ware, James J, DMD ........... 40Waters, Jill M, MD ................. 9Watson, Blythe, PA .............. 27Webster, Andrea H,

AUD ............................ 11, 32Weingarten, Karl E, MD ....... 31Weintraub, Neal L, MD .. 16, 17Whitaker, Derek, MD ...... 26, 27White, Cassandra Q, MD ..... 33White, Lauren C, MD ........... 27Whitten, Shannon E, FNP .... 22Whitten, William Allen, MD .... 5Whitwell, Shannon, NP ...... 4, 5Wilcox, Stephanie A, NP ... 7, 9Wiley, Daryl C, MD ................. 4Wiley, Megan D, NP ............. 22Willard, Jennifer M, MD ....... 29Williams, Bridgette, NP.. 21, 22

Williams, George, MD .... 23, 24Williams, Mariah, PA .............. 3Wills, Edward, DO................ 32Wilson, Jacquelin, LPC ....... 39Wilson, Kimberlyn, DPT ....... 29Wilson, Terri M, MD ............... 4Wilson, Walter S, MD ............. 4Winn Dixie ........................... 44Wood, Amy, NP ..................... 9Wortham, Candace H, NP ..... 5

YYates, Ashley Marie,

NP............................... 13, 21Yawn, Julia E, NP .............. 8, 9Youmans, Stephen C, MD ..... 3Young, Shelley, PA ............... 33YourTown Health.................. 35

ZZahler-miller, Carolyn, MD ... 23Zimmerman, Stephanie M,

PA ..................................... 32Zumstein, James, MD ........... 5

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Statement of Non-DiscriminationPeach State Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Peach State Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Peach State Health Plan:Provides free aids and services to people with disabilities to communicate effectively with us, such as:

• Qualified sign language interpreters• Written information in other formats (large print, audio, accessible electronic formats, other formats)

Provides free language services to people whose primary language is not English, such as:• Qualified interpreters• Information written in other languages

If you need these services, contact Peach State Health Plan at 1-800-704-1484 (TTY/TDD 1-800-255-0056).

If you believe that Peach State Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Peach State Health Plan Complaints Department, 1100 Circle 75 Parkway, Suite 1100, Atlanta, GA 30339, 1-800-704-1484 (TTY/TDD 1-800-255-0056), Fax 1-855-678-6982. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Peach State Health Plan is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

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Declaración de no discriminaciónPeach State Health Plan cumple con las leyes de derechos civiles federales aplicables y no discrimina basándose en la raza, color, origen nacional, edad, discapacidad, o sexo. Peach State Health Plan no excluye personas o las trata de manera diferente debido a su raza, color, origen nacional, edad, discapacidad, o sexo.

Peach State Health Plan:Proporciona ayuda y servicios gratuitos a las personas con discapacidad para que se comuniquen eficazmente con nosotros, tales como:

• Intérpretes calificados de lenguaje por señas• Información escrita en otros formatos (letra grande, audio, formatos electrónicos accesibles, otros formatos)

Proporciona servicios de idiomas a las personas cuyo lenguaje primario no es el inglés, tales como:• Intérpretes calificados• Información escrita en otros idiomas

Si necesita estos servicios, comuníquese con Peach State Health Plan a 1-800-704-1484 (TTY/TDD 1-800-255-0056).

Si considera que Peach State Health Plan no le ha proporcionado estos servicios, o en cierto modo le ha discriminado debido a su raza, color, origen nacional, edad, discapacidad o sexo, puede presentar una queja ante: Peach State Health Plan Complaints Department, 1100 Circle 75 Parkway, Suite 1100, Atlanta, GA 30339, 1-800-704-1484 (TTY/TDD 1-800-255-0056), Fax 1-855-678-6982. Usted puede presentar una queja en persona, por correo, fax, o correo electrónico. Si necesita ayuda para presentar una queja, Peach State Health Plan está disponible para brindarle ayuda. También puede presentar una queja de violación a sus derechos civiles ante la Oficina de derechos civiles del Departamento de Salud y Servicios Humanos de Estados Unidos (U.S. Department of Health and Human Services), en forma electrónica a través del portal de quejas de la Oficina de derechos civiles, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o por correo o vía telefónica llamando al: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD).

Los formularios de queja están disponibles en http://www.hhs.gov/ocr/office/file/index.html.

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Language AssistanceInterpreter services are provided free of charge to you. Peach State Health Plan has a telephone language line available 24 hours a day, 7 days a week. Are you hearing impaired? If so, we can help you. Call: TTY/TDD 1-800-255-0056.

Español (Spanish):Si usted, o alguien a quien está ayudando, tiene preguntas acerca de Peach State Health Plan, tiene derecho a obtener ayuda e información en su idioma sin costo alguno. Para hablar con un intérprete, llame al 1-800-704-1484 (TTY/TDD 1-800-255-0056).

Français (French):Si vous-même ou une personne que vous aidez avez des questions à propos d’Peach State Health Plan, vous avez le droit de bénéfi cier gratuitement d’aide et d’informations dans votre langue. Pour parler à un interprète, appelez le 1-800-704-1484 (TTY/TDD 1-800-255-0056).

Kreyòl (French Creole):Si oumenm, oubyen yon moun w ap ede, gen kesyon nou ta renmen poze sou Peach State Health Plan, ou gen tout dwa pou w jwenn èd ak enfòmasyon nan lang manman w san sa pa koute w anyen. Pou w pale avèk yon entèprèt, sonnen nimewo 1-800-704-1484 (TTY/TDD 1-800-255-0056).

Português (Portuguese):Se você, ou alguém a quem você está ajudando, tem perguntas sobre o Peach State Health Plan, você tem o direito de obter ajuda e informação em seu idioma e sem custos. Para falar com um intérprete, ligue para 1-800-704-1484 (TTY/TDD 1-800-255-0056).

Deutsch (German):Falls Sie oder jemand, dem Sie helfen, Fragen zu Peach State Health Plan hat, haben Sie das Recht, kostenlose Hilfe und Informationen in Ihrer Sprache zu erhalten. Um mit einem Dolmetscher zu sprechen, rufen Sie bitte die Nummer 1-800-704-1484 (TTY/TDD 1-800-255-0056) an.

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