JENKINS COUNTY HOSPITAL LLC (NPI# 1063722924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063722924 |
| Entity Type | Organization |
| Organization Name | JENKINS COUNTY HOSPITAL LLC |
| Other Organization Name | OPTIM SURGICAL ASSOCIATES - TWIN CITY |
| Practice Address |
115 Gillikin St Twin City GA 30471-3989 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 4787632760 |
| Practice Fax Number | 9126445260 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | MICHAEL W KLEINPETER (CEO) |
| Authorized Official Telephone | 9126445300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Optim Surgical Associates - Twin City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346510542 | Jenkins County Hospital LLC | Orthopaedic Surgery | 16915 Hwy 27 South, Suite A, Statesboro, GA 30458 | 2012-01-04 |
| 1811264625 | Jenkins County Hospital LLC | Orthopaedic Surgery | 209a Mims Rd, Sylvania, GA 30467-1994 | 2011-11-22 |
| 1417225020 | Jenkins County Hospital LLC | Orthopaedic Surgery | 960 College Ave, Millen, GA 30442-1634 | 2011-12-09 |
| 1275800088 | Jenkins County Hospital LLC | Orthopaedic Surgery | 620 Sparta Rd, Sandersville, GA 31082-1803 | 2011-11-22 |
| 1225333263 | Jenkins County Hospital LLC | Internal Medicine | 532 College Ave, Millen, GA 30442-1602 | 2011-01-24 |
| 1821308834 | Jenkins County Hospital LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-10-12 |
| 1497064679 | Jenkins County Hospital LLC | General Acute Care Hospital | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2010-10-05 |
| 1124337308 | Jenkins County Hospital LLC | Medicare Defined Swing Bed Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2010-10-05 |
| Street Address |
115 GILLIKIN ST |
| City | TWIN CITY |
| State | GA |
| Zip Code | 30471-3989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710428255 | Claire Ault | Nurse Practitioner | 115 Gillikin St, Twin City, GA 30471-3989 | 2017-03-16 |
| 1912319997 | Emanuel County Hospital Authority | Clinic/Center | 115 Gillikin St, Twin City, GA 30471-3989 | 2014-05-27 |
| 1568750636 | Lauren Shaw Mcmillan | Registered Nurse | 115 Gillikin St, Twin City, GA 30471-3989 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635881 | Delois Jenkins | Technician | 654 Sam Overstreet Road, Twin City, GA 30471 | 2019-08-23 |
| 1932416674 | Emanuel County Board of Health | Public Health or Welfare | 503 S Railroad Ave, Twin City, GA 30471 | 2010-09-01 |
| 1598828691 | National Assistance Bureau Inc. | Skilled Nursing Facility | 211 Mathis Ave, Twin City, GA 30471 | 2006-12-19 |
| 1134119936 | Emanuel County Hospital Authority | Clinic/Center | 511 Gilliken St, Twin City, GA 30471 | 2005-10-24 |
| 1568831071 | 2-k Pharmakon Services LLC | Pharmacy | 507 S Railroad Ave, Twin City, GA 30471 | 2015-09-15 |
| 1194000190 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 293 Little Canoochee Creek Rd, Twin City, GA 30471-4123 | 2011-10-21 |
| 1710407176 | Community Service Board of Middle Georgia | Community/Behavioral Health | 293 Little Canoochee Creek Rd, Twin City, GA 30471-4123 | 2017-06-26 |
| 1336740356 | Charlies Angels Care Corp | In Home Supportive Care | 525 W Broad St, Twin City, GA 30471-4187 | 2020-11-05 |
| 1588836738 | Twin View Operator LLC | Skilled Nursing Facility | 211 Mathis Ave - Box 1460, Twin City, GA 30471-4232 | 2008-03-27 |
| 1265526057 | 2-k Pharmakon Services LLC | Pharmacy | 507 S Railroad Ave, Twin City, GA 30471-4355 | 2006-10-03 |
| Find all providers in zip 30471 | ||||
| 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 |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
| 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.