INTERCARE MEDICAL, CORP


Address: 3540 Wheeler Rd Ste 307, Augusta, GA 30909-1887
Phone: 7064321111

INTERCARE MEDICAL, CORP (NPI# 1083253140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083253140
Entity Type Organization
Organization Name INTERCARE MEDICAL, CORP
Practice Address 3540 Wheeler Rd Ste 307
Augusta
GA 30909-1887
Mailing Address 62 Conifer Cir
Augusta
GA 30909-4506
Practice Telephone 7064321111
Practice Fax Number 7069450638
Mailing Telephone 7064656260
Enumeration Date 2020-01-06
Last Update Date 2020-01-06
Authorized Official Name DR. JON C GIBBS (PHYSICIAN)
Authorized Official Telephone 7064321111
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Intercare Medical Other Name - Individual/Organization

Office Location

Street Address 3540 WHEELER RD STE 307
City AUGUSTA
State GA
Zip Code 30909-1887

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513888 Lauran Simpson Behavior Technician 1237 Augusta West Parkway, Augusta, GA 30909 2020-09-16
1487273884 Still Perspectives Counseling LLC Counselor 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 2020-04-15
1598397838 Mjra Medical LLC Psychologist 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 2020-02-05
1003452319 Danny Robinson Counselor 2609 Commons Boulevard, Augusta, GA 30909 2019-11-21
1407498637 Candice M Cruse Social Worker 2609 Commons Blvd, Augusta, GA 30909 2019-10-09
1902363385 Mary D Jodon Pharmacist 3338 Wrightsboro Rd., Augusta, GA 30909 2019-02-21
1447790514 Burn Critical Care Associates, LLC Internal Medicine 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 2017-03-08
1124561766 Sasha Latara Mccraw Counselor 7303 Palomino Court, Augusta, GA 30909 2016-11-30
1174974620 Warren Umansky, Ph.d. Psychologist 302 Wheeler Executive Ctr, Augusta, GA 30909 2016-06-27
1811358955 Theodora Mcleskey Nurse Practitioner 1215 George C. Wilson Drive, Augusta, GA 30909 2016-03-17
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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407131899 Cambridge Labs,llc Clinic/Center 611 15th St, Augusta, GA 30901-2601 2011-10-17
1194994244 Ernie E Lin Clinic/Center 211 Pleasant Home Road, Suite F-3, Augusta, GA 30907-0559 2008-02-22
1962578898 Ernie E Lin, Md, PC Clinic/Center 211 Pleasant Home Rd., Suite F-3, Augusta, GA 30907-0559 2006-11-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558970640 Fx Spine and Performance Center, LLC Clinic/Center 106 Srp Dr Ste B, Evans, GA 30809-4358 2020-07-24
1346763190 Laser Spine & Pain Centers LLC Clinic/Center 403 Permian Way Ste C, Villa Rica, GA 30180-3252 2017-07-24
1164828976 Atlanta Pain and Wellness Center PC Clinic/Center 1287 Ga Hwy 138 Spur Ste 8, Jonesboro, GA 30236-2419 2014-11-06
1790031664 Nr Medical Center, LLC Clinic/Center 213 Arrowhead Blvd, Suite D, Jonesboro, GA 30236-1168 2012-07-30
1740566181 Physical Medicine of Norcross Clinic/Center 6315 Spaulding Dr Ste B, Norcross, GA 30092-4653 2011-10-31
1043537905 Primacare Pain & Rehab.,llc Clinic/Center 4467 Glenwood Rd, Suite 2, Decatur, GA 30032-5014 2010-04-30
1235354218 Acworth Pain Management Center Inc Clinic/Center 5399 Bells Ferry Rd, Suite 180, Acworth, GA 30102-7546 2007-04-16
1487878856 Suwanee Pain Management Center Inc Clinic/Center 415 Peachtree Industrial Blvd, Suite 600, Suwanee, GA 30024-6710 2007-04-13
1750494423 Georgia Pain Spine Center Clinic/Center 15 Medical Drive, Suite 302, Cartersville, GA 30121 2006-08-16
1417979550 Bowman Pain Management Center, PC Clinic/Center 6010 Lakeside Commons Dr, Suite A, Macon, GA 31210-5779 2006-07-25
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Competitor

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City AUGUSTA
Zip Code 30909

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Dataset Information

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.

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