MBA COMMUNITY CLINIC (NPI# 1083007355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083007355 |
| Entity Type | Organization |
| Organization Name | MBA COMMUNITY CLINIC |
| Other Organization Name | COMMUNITY CLINIC |
| Practice Address |
4395 Ogeechee Rd Ste 209 Savannah GA 31405-1249 |
| Practice Telephone | 9123358934 |
| Practice Fax Number | 9122283046 |
| Mailing Telephone | 9122083261 |
| Mailing Fax Number | 9122283046 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | MR. MAURICE S BYRD (OWNER) |
| Authorized Official Telephone | 9123358934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| COMMUNITY CLINIC | Doing Business As Name - Organization |
| Street Address |
4395 OGEECHEE RD STE 209 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710133475 | Maurice Syntel Byrd | Contractor | 4395 Ogeechee Rd, Ste 209, Savannah, GA 31405-1249 | 2008-08-13 |
| 1750829107 | Community Care Clinic | Family Medicine | 4395 Ogeechee Rd, 209, Savannah, GA 31405-1249 | 2017-02-06 |
| 1841652773 | Echika Chukwukere | Nurse Practitioner | 4395 Ogeechee Rd, 209, Savannah, GA 31405-1249 | 2016-03-21 |
| 1396125498 | Barbara Wallace | Mastectomy Fitter | 4395 Ogeechee Rd, Ste 209, Savannah, GA 31405-1249 | 2015-06-03 |
| 1437305059 | Mba Diabetic Footwear Solutions | Durable Medical Equipment & Medical Supplies | 4395 Ogeechee Rd, Ste 209, Savannah, GA 31405-1249 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336502012 | Covenant Primary Care | Clinic/Center | 11700 Mercy Blvd # 3, Savannah, GA 31419-1753 | 2016-03-31 |
| 1982072872 | Bcg Medical Group LLC | Clinic/Center | 340 Eisenhower Dr, Suite 1200, Savannah, GA 31406-1600 | 2015-09-09 |
| 1891066072 | Savannah Clinic Inc. | Clinic/Center | 345 Commercial Dr, Savannah, GA 31406-3606 | 2012-01-20 |
| 1568784544 | Jeanne M Hungerpiller Md LLC | Clinic/Center | 836 E 65th St, Building # 5, Savannah, GA 31405-4434 | 2010-02-18 |
| 1871743617 | St.joseph's/candler Hospital | Clinic/Center | 5353 Reynolds St, Savannah, GA 31405-6015 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1528673514 | Safe Haven Medical Services | Clinic/Center | 444 Racetrack Rd, Mcdonough, GA 30252-6837 | 2020-09-15 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| 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.