| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1679647267 | FERRIS | JEREMY | 717 20TH ST | COLUMBUS | GA | 319048920 | ||
| 1902933229 | KERSEY | CAMERON | CALDWELL | PO BOX 370 | FORTSON | GA | 318080370 | |
| 1417165465 | STAY | ROURKE | M | PO BOX 370 | FORTSON | GA | 318080370 |