IRWIN COUNTY HOSPITAL (NPI# 1023418928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023418928 |
| Entity Type | Organization |
| Organization Name | IRWIN COUNTY HOSPITAL |
| Other Organization Name | IRWIN SURGICAL MEDICAL |
| Practice Address |
2016 Ocilla Rd Douglas GA 31533-2230 |
| Mailing Address |
710 N Irwin Ave Ocilla GA 31774-5011 |
| Practice Telephone | 9123844010 |
| Practice Fax Number | 9123844018 |
| Mailing Telephone | 2294683800 |
| Mailing Fax Number | 2294689991 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | SHARON GRIFFIN (DIRECTOR OF FINANCIAL SERVICES) |
| Authorized Official Telephone | 2294683862 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Irwin Surgical Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720098791 | Irwin County Hospital | General Acute Care Hospital | 710 N Irwin Ave, Ocilla, GA 31774-5011 | 2006-08-09 |
| 1962499038 | Irwin County Hospital | Skilled Nursing Facility | 201 W Dismuke Ave, Ocilla, GA 31774-1217 | 2005-10-04 |
| 1982142956 | Irwin County Hospital | Surgery | 602 N Irwin Ave, Ocilla, GA 31774-5030 | 2017-02-09 |
| 1033595327 | Irwin County Hospital | Family Medicine | 200 S Cherry St, Ocilla, GA 31774-1804 | 2015-08-10 |
| 1649670894 | Irwin County Hospital | Internal Medicine | 134 Fleetwood Ave E, Willacoochee, GA 31650-2730 | 2014-08-25 |
| 1811397060 | Irwin County Hospital | Obstetrics & Gynecology | 72 Kent Rd, Tifton, GA 31794-1694 | 2014-08-25 |
| 1740680990 | Irwin County Hospital | Surgery | 357 Cargile Rd, Ocilla, GA 31774-3606 | 2014-08-25 |
| Street Address |
2016 OCILLA RD |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326031865 | Marshall Glynn Tanner | Internal Medicine | 2016 Ocilla Rd, Douglas, GA 31533-2230 | 2005-08-30 |
| 1811351554 | Keri Evans | Nurse Practitioner | 2016 Ocilla Rd, Douglas, GA 31533-2230 | 2016-04-08 |
| 1437392859 | Asf Medical Center Inc | Emergency Medicine | 2016 Ocilla Rd, Douglas, GA 31533-2230 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013277904 | Otis Rodney Vickers | Surgery | 917 Karen Ln, Douglas, GA 31533-3401 | 2012-05-24 |
| 1730126194 | Concordio F Ursal | Surgery | 2106 Ocilla Rd, Douglas, GA 31533 | 2006-06-02 |
| 1205829207 | William Charles Miller Jr. | Surgery | 203 Shirley Ave, Douglas, GA 31533-2327 | 2005-08-24 |
| 1336132646 | Romulo P Navarro | Surgery | 100 Doctors Dr Ste C, Douglas, GA 31533-2211 | 2005-08-23 |
| 1710205927 | Douglas Medical & Surgical Group, PC | Surgery | 203 Shirley Ave, Douglas, GA 31533-2327 | 2010-05-12 |
| 1194974816 | Chester Theo Royals Jr. | Surgery | 100 Doctors Dr Ste C, Douglas, GA 31533-2211 | 2008-09-18 |
| 1598827974 | Medical South PC | Surgery | 1309 Ocilla Rd, Suite A, Douglas, GA 31533-2209 | 2006-12-14 |
| 1932280682 | Thomas W Wehmann | Surgery | 100 Doctors Dr Ste C, Douglas, GA 31533-2211 | 2006-10-18 |
| 1992808398 | Jonathan L Grosdidier | Surgery | 111 S 5th St, Douglas, WY 82633-2434 | 2006-09-07 |
| 1457461774 | William Leslie White | Surgery | 111 S 5th St, Douglas, WY 82633-2434 | 2006-08-30 |
| Find all providers in DOUGLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.