FAIRVIEW PARK, LIMITED PARTNERSHIP (NPI# 1093769044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093769044 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW PARK, LIMITED PARTNERSHIP |
| Other Organization Name | FAIRVIEW PARK HOSPITAL |
| Practice Address |
200 Industrial Blvd Dublin GA 31021-2981 |
| Practice Telephone | 4782752000 |
| Practice Fax Number | 4782720211 |
| Mailing Telephone | 4782752000 |
| Mailing Fax Number | 4782720211 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | CYNTHIA M. NOBLES (CFO) |
| Authorized Official Telephone | 4782743103 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAIRVIEW PARK, LIMITED PARTNERSHIP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| FAIRVIEW PARK HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568549681 | Fairview Park, Limited Partnership | General Acute Care Hospital | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2006-11-01 |
| 1285688234 | Fairview Park, Limited Partnership | General Acute Care Hospital | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2006-05-22 |
| 1427002104 | Fairview Park, Limited Partnership | General Acute Care Hospital | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2006-05-19 |
| Street Address |
200 INDUSTRIAL BLVD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508855321 | George P. Forsyth | Specialist | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2005-10-14 |
| 1891309357 | James Cullen Todd | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2997 | 2020-09-02 |
| 1780245969 | Aja Stokes | Dietitian, Registered | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2019-06-27 |
| 1801453832 | April Alleyne Wood | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2019-05-24 |
| 1700366150 | Southeast Pain LLC | Anesthesiology | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2018-08-15 |
| 1861982670 | Charity Rena Joiner | Family Medicine | 200 Industrial Blvd, Dublin, GA 31021-2997 | 2018-05-16 |
| 1871091694 | Allyson Deanne Brown | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2018-01-26 |
| 1538680343 | Sarah Hazim Al Mansi | Internal Medicine | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2017-06-30 |
| 1740728823 | Julie Pettis | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2017-02-08 |
| 1265897045 | Pdk Radiology LLC | Radiology | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2015-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538631437 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 1400 Tullie Rd Ne Ste 601, Atlanta, GA 30329-2309 | 2018-12-18 |
| 1316456825 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 605 Big Shanty Road, Nw, Ste 100, Kennesaw, GA 30144-3646 | 2017-09-27 |
| 1386177798 | Southeast Georgia Health Services, L.L.C. | Rehabilitation Unit | 2500 Satilla Pkwy, Waycross, GA 31503-8852 | 2017-04-04 |
| 1578996245 | Complete Healthcare Management LLC | Rehabilitation Unit | 1060 Deer Chase, Stone Mountain, GA 30088-2404 | 2013-08-16 |
| 1306197702 | Children's Healthcare of Atlanta | Rehabilitation Unit | 2270 Duluth Hwy, Duluth, GA 30097-4010 | 2012-09-25 |
| 1497035489 | Body Mechanics Rehabilitation Services, LLC | Rehabilitation Unit | 524 New River Way, Mcdonough, GA 30252-4153 | 2011-08-22 |
| 1598990376 | Phoebe Sumter Medical Center, Inc. | Rehabilitation Unit | 126 Hwy 280 W, Americus, GA 31719-8645 | 2009-05-21 |
| 1124295274 | Va Medical Center-downtown Division/augusta | Rehabilitation Unit | 3336 Thames Pl, Hephzibah, GA 30815-7176 | 2008-05-08 |
| 1942412754 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1134168016 | Northside Hospital, Inc. | Rehabilitation Unit | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-06-06 |
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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.