EFFINGHAM HOSPITAL, INC. (NPI# 1083042352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083042352 |
| Entity Type | Organization |
| Organization Name | EFFINGHAM HOSPITAL, INC. |
| Other Organization Name | EFFINGHAM WOMEN'S HEALTH |
| Practice Address |
110 Goshen Rd Rincon GA 31326-5545 |
| Mailing Address |
459 Highway 119 South Attn.: Alia Allen/medical Staff Office Springfield GA 31329 |
| Practice Telephone | 9128265239 |
| Practice Fax Number | 9128261497 |
| Mailing Telephone | 9127540175 |
| Mailing Fax Number | 9127546395 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | MRS. FRANCINE BAKER-WITT (INTERIM CEO) |
| Authorized Official Telephone | 9127540142 |
| Authorized Official Credential | RN, MBA, CNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Effingham Women's Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063849719 | Effingham Hospital, Inc. | Orthopaedic Surgery | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2013-09-26 |
| 1245867688 | Effingham Hospital, Inc. | Pharmacy | 459 Highway 119 S, Springfield, GA 31329-3021 | 2020-03-25 |
| 1669004966 | Effingham Hospital, Inc. | Internal Medicine | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2020-02-05 |
| 1962806257 | Effingham Hospital, Inc. | Internal Medicine | 800 Towne Park Dr Ste 100, Rincon, GA 31326-5160 | 2014-10-15 |
| 1245668417 | Effingham Hospital, Inc. | Preventive Medicine | 7306 Ga Highway 21 Ste 105, Port Wentworth, GA 31407-9275 | 2013-10-24 |
| 1477893857 | Effingham Hospital, Inc. | Pharmacy | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2013-02-22 |
| 1245577048 | Effingham Hospital, Inc. | Obstetrics & Gynecology | 1451 Highway 21 S Ste H, Springfield, GA 31329-5244 | 2013-01-14 |
| 1851696710 | Effingham Hospital, Inc. | Preventive Medicine | 110 Goshen Rd, Rincon, GA 31326-5545 | 2011-01-24 |
| 1750686382 | Effingham Hospital, Inc. | Family Medicine | 1451 Highway 21 S, Ste H, Springfield, GA 31329-5244 | 2011-01-12 |
| 1578876033 | Effingham Hospital, Inc. | Surgery | 459 Highway 119 S, Ste A, Springfield, GA 31329-3021 | 2010-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EFFINGHAM HOSPITAL, INC. | 459 Ga Highway 119 S, Springfield, GA 31329-3021 |
| Street Address |
110 GOSHEN RD |
| City | RINCON |
| State | GA |
| Zip Code | 31326-5545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043312457 | Toni Royanne Sylvester | Obstetrics & Gynecology | 110 Goshen Rd, Rincon, GA 31326-5744 | 2006-09-05 |
| 1851696710 | Effingham Hospital, Inc. | Preventive Medicine | 110 Goshen Rd, Rincon, GA 31326-5545 | 2011-01-24 |
| 1487983987 | Rhonda Dee Jones | Nurse Practitioner | 110 Goshen Rd, Rincon, GA 31326-5744 | 2009-12-11 |
| 1366584500 | Ray L Howell | Obstetrics & Gynecology | 110 Goshen Rd, Rincon, GA 31326-5744 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657160 | Vitality Counseling, Inc | Counselor | 135 Goshen Road Ext Ste 203, Rincon, GA 31326 | 2018-01-29 |
| 1174045322 | Katelyn Dodsworth Sundin | Dentist | 5871 Ga-21 S, Rincon, GA 31326 | 2017-07-10 |
| 1861943284 | Covenant Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Goshen Commercial Park Dr., Rincon, GA 31326 | 2016-10-20 |
| 1013465681 | Aaron D. Webb | Nurse Practitioner | 423 S Columbia Avenue, Rincon, GA 31326 | 2016-09-13 |
| 1659726255 | Reagan Reese Powell | Counselor | 135 Goshen Rd Ext, Suite 203a, Rincon, GA 31326 | 2016-05-02 |
| 1982065652 | Shronda Bowman | Specialist | 1214n Columbia Ave, Unit B, Rincon, GA 31326 | 2016-03-09 |
| 1306202890 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 461 S Columbia Ave, Rincon, GA 31326 | 2016-01-13 |
| 1053628255 | Jennifer Erin Creech | Dentist | 429 S Columbia Ave, Rincon, GA 31326 | 2010-09-09 |
| 1548596737 | Rincon Medical Center | Clinic/Center | 119 Chimney Road, Rincon, GA 31326 | 2009-10-23 |
| 1770732968 | Hospital Authority of Effingham County | Clinic/Center | 110 Goshen Road, Rincon, GA 31326 | 2008-09-12 |
| Find all providers in zip 31326 | ||||
| Taxonomy Code | 2088F0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710140124 | Jessica Hammett | Urology | 1365 Clifton Rd Ne Ste 1400, Atlanta, GA 30322-3096 | 2008-07-07 |
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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.