ATHENS REGIONAL MEDICAL CENTER (NPI# 1053431320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053431320 |
| Entity Type | Organization |
| Organization Name | ATHENS REGIONAL MEDICAL CENTER |
| Other Organization Name | MIND BODY INSTITUTE |
| Practice Address |
1199 Prince Ave Athens GA 30606-2797 |
| Practice Telephone | 7064757330 |
| Practice Fax Number | 7064756717 |
| Mailing Telephone | 7064757330 |
| Mailing Fax Number | 7064756717 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD PANICO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7064757330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | GA17870 | GA | Hospitals |
| Other Name | Type Code |
|---|---|
| Mind Body Institute | Doing Business As Name - Organization |
| Street Address |
1199 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902271 | Joel P Cook | Radiology | 1199 Prince Ave, Athens, GA 30606-2797 | 2005-06-14 |
| 1780283200 | Jenny Edwards Tolley | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-10-26 |
| 1649896143 | Monique Mellissa Hayles | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-06-19 |
| 1407478514 | Andrew Finley Woodham | Physician Assistant | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-05-12 |
| 1366062713 | Mecca Sabri Bennett | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-04-24 |
| 1710521778 | Jessica Russell | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-11-03 |
| 1083178321 | Mary H Brown | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-30 |
| 1144784372 | Jennifer Simpson Etheridge | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-22 |
| 1629542089 | Ansley Brooke Waters | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-17 |
| 1740750462 | Jonathan Hydrick | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205216777 | Perryhan Hiotis | General Acute Care Hospital | 29 Nireos Street, Palaio Faliro, Athens, ATTICA 17561 | 2015-05-31 |
| 1417465824 | Athens Hospital, LLC | General Acute Care Hospital | 2000 S Palestine St, Athens, TX 75751-5610 | 2018-01-19 |
| 1144695081 | Hh Health System - Athens Limestone, LLC | General Acute Care Hospital | 700 W Market St, Athens, AL 35611-2457 | 2015-12-03 |
| 1912376146 | Jana Adams Mitcham | General Acute Care Hospital | 1230 Baxter St, Athens, GA 30606-3712 | 2015-09-17 |
| 1942693973 | North Alabama Specialty Hospital | General Acute Care Hospital | 700 W Market St, 2 South, Athens, AL 35611-2457 | 2015-03-16 |
| 1366848574 | Victor A. Morales, Md, PC | General Acute Care Hospital | 1230 Baxter St, Neonatal Intensive Care Unit, Athens, GA 30606-3712 | 2014-11-16 |
| 1770987364 | Regional Lab Outreach | General Acute Care Hospital | 1199 Prince Ave, Regional Lab Outreach, Athens, GA 30606-2797 | 2014-10-10 |
| 1881022804 | St. Mary's Healthcare | General Acute Care Hospital | 1230 Baxter St, Athens, GA 30606-3712 | 2013-10-30 |
| 1912333949 | Natalie Gillespie | General Acute Care Hospital | 1230 Baxter St, Athens, GA 30606-3712 | 2013-09-23 |
| 1265868277 | Willow Samsel | General Acute Care Hospital | 1230 Baxter St, Athens, GA 30606-3712 | 2013-09-23 |
| Find all providers in ATHENS | ||||
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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.