CARE MEDICAL CENTER (NPI# 1063521250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063521250 |
| Entity Type | Organization |
| Organization Name | CARE MEDICAL CENTER |
| Practice Address |
2804 N Oak St Suite C Valdosta GA 31602-1716 |
| Practice Telephone | 2292418925 |
| Practice Fax Number | 2292417672 |
| Mailing Telephone | 2292418925 |
| Mailing Fax Number | 2292417672 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | DR. JAMES RYAN MOORMAN (OWNER) |
| Authorized Official Telephone | 2292418925 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 007773 | GA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP | GRP6935 | 01 |
| Street Address |
2804 N OAK ST SUITE C |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023022290 | Samuel E Worthington Iv | Dentist | 2804 N Oak St, Suite B, Valdosta, GA 31602-1716 | 2006-07-27 |
| 1790147908 | Richard Wa Rickman LLC | Preferred Provider Organization | 2804 N Oak St, Suite A, Valdosta, GA 31602-5914 | 2016-03-26 |
| 1083017784 | Heather Hyers | Nurse Practitioner | 2804 N Oak St, Valdosta, GA 31602-5914 | 2014-10-08 |
| 1285063842 | Sara Lewis | Clinic/Center | 2804 N Oak St, Ste C, Valdosta, GA 31602-5914 | 2013-11-04 |
| 1508293465 | Destiny Medical Services, Inc | Physical Medicine & Rehabilitation | 2804 N Oak St, Valdosta, GA 31602-5914 | 2013-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739984 | Under The Shadows Private Home Care | Exclusive Provider Organization | 208 Curtis Street, Sylvania, GA 30467 | 2017-02-22 |
| 1851830806 | Martinez Orthodontics, PC | Exclusive Provider Organization | 4469 Columbia Rd Ste B, Martinez, GA 30907-4573 | 2017-02-22 |
| 1467900191 | The 831 Company | Exclusive Provider Organization | 788 Hightower Rd, Macon, GA 31206-2240 | 2016-09-11 |
| 1992151567 | Cindys Childrens Charitable & Elderly Care Foundation Inc. | Exclusive Provider Organization | 1249 Kasandra Dr Se, Marietta, GA 30067-7713 | 2016-05-12 |
| 1275925711 | Briah Fashions LLC | Exclusive Provider Organization | 1215 Lionsgate Dr, Conyers, GA 30094-6106 | 2015-02-20 |
| 1992105258 | My Matrix, Incorporated | Exclusive Provider Organization | 2640 Martin Luther King Jr Dr Sw, Atlanta, GA 30311-6101 | 2014-08-23 |
| 1356760318 | Specialized Therapy Solutions, LLC | Exclusive Provider Organization | 1494 Hampton View Ct, Marietta, GA 30008-4094 | 2014-04-07 |
| 1558787085 | Qura Woodbury | Exclusive Provider Organization | 464 Vinings Vintage Cir, Mableton, GA 30126-7207 | 2014-03-07 |
| 1285059006 | Brandy Schultz Cares | Exclusive Provider Organization | 1960 Morning Ln Nw, Acworth, GA 30102-7912 | 2014-03-03 |
| 1740604883 | Judin Lynch | Exclusive Provider Organization | 919 Koala Ct, Lawrenceville, GA 30043-7699 | 2014-02-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARE MEDICAL CENTER.
| 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.