OCCUPATIONAL HEALTH CENTERS OF GEORGIA PC (NPI# 1033128608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033128608 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL HEALTH CENTERS OF GEORGIA PC |
| Other Organization Name | CONCENTRA MEDICAL CENTER |
| Practice Address |
1157 West Ave. Suite B Conyers GA 30012 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001 |
| Practice Telephone | 7707600066 |
| Practice Fax Number | 7709227599 |
| Mailing Telephone | 8002323550 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | DR. WILLIAM TOM FOGARTY (SENIOR VP / CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9723648103 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Concentra Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871915918 | Occupational Health Centers of Georgia PC | Clinic/Center | 800 Macon Rd, Columbus, GA 31908 | 2014-01-08 |
| 1841627064 | Occupational Health Centers of Georgia PC | Clinic/Center | 1146 Elma G. Miles Parkway, Suite 103, Hinesville, GA 31313 | 2013-10-02 |
| 1174958987 | Occupational Health Centers of Georgia PC | Clinic/Center | 1146 Elma G. Miles Pkwy., Ste. 103, Hinesville, GA 31313 | 2013-09-11 |
| 1689918567 | Occupational Health Centers of Georgia PC | Clinic/Center | 1680 Georgia Highway 138 Se, Suites E-f, Conyers, GA 30013-1281 | 2012-11-16 |
| 1447519764 | Occupational Health Centers of Georgia PC | Clinic/Center | 2367 Highway 196 W, Hinesville, GA 31313-8036 | 2012-05-07 |
| 1619234549 | Occupational Health Centers of Georgia PC | Clinic/Center | 6334 Roswell Rd Ne, Suite C, Sandy Springs, GA 30328-3210 | 2012-04-17 |
| 1912288242 | Occupational Health Centers of Georgia PC | Clinic/Center | 2953 Cobb Parkway, Nw, Kennesaw, GA 30152 | 2011-08-31 |
| 1518092014 | Occupational Health Centers of Georgia PC | Clinic/Center | 109 Minus Ave, Suite C-10, Garden City, GA 31408 | 2007-02-23 |
| 1487789970 | Occupational Health Centers of Georgia PC | Clinic/Center | 1051 Talbotton Road, Columbus, GA 31904 | 2007-02-23 |
| 1871502807 | Occupational Health Centers of Georgia PC | Clinic/Center | 4223 Morland Ave., Highway 42, Conley, GA 30288 | 2006-08-07 |
| Street Address |
1157 WEST AVE. SUITE B |
| City | CONYERS |
| State | GA |
| Zip Code | 30012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356792501 | Sonquest Development, Inc. | Clinic/Center | 2796 Highway 20 Se, Conyers, GA 30013-2735 | 2016-06-29 |
| 1689918567 | Occupational Health Centers of Georgia PC | Clinic/Center | 1680 Georgia Highway 138 Se, Suites E-f, Conyers, GA 30013-1281 | 2012-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068361 | Rc Chiropractic & Personal Injury Centers LLC | Clinic/Center | 3547 Peachtree Industrial Blvd Ste 10, Duluth, GA 30096-1419 | 2020-09-17 |
| 1467066639 | Luminous Care, LLC | Clinic/Center | 285 Boulevard Ne Ste 145, Atlanta, GA 30312-4204 | 2020-09-03 |
| 1558974709 | Medlife Healthcare | Clinic/Center | 2129 Friendship Rd, Flowery Branch, GA 30542 | 2020-08-27 |
| 1679181168 | Guardian Health Group | Clinic/Center | 6296 Cheatham Lake Dr Nw, Acworth, GA 30101-7642 | 2020-07-21 |
| 1851909857 | 100 Percent Nutrition LLC | Clinic/Center | 8425 Waldrip Rd, Gainesville, GA 30506-5774 | 2020-07-16 |
| 1487271342 | Temak Telehealth | Clinic/Center | 635 Granville Ct, Atlanta, GA 30328-3445 | 2020-06-26 |
| 1992321301 | Hope Harbor Wellness LLC | Clinic/Center | 126 Enterprise Path Ste 208, Hiram, GA 30141-2654 | 2020-06-22 |
| 1447875307 | Georgia Palliative Services, LLC | Clinic/Center | 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928 | 2020-06-16 |
| 1548884000 | 2 Wolves Inc | Clinic/Center | 783 S Main St Ste 5, Cleveland, GA 30528-4519 | 2020-06-01 |
| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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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.