MEADOWS REGIONAL MEDICAL CENTER INC (NPI# 1093853764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093853764 |
Entity Type | Organization |
Organization Name | MEADOWS REGIONAL MEDICAL CENTER INC |
Other Organization Name | MEADOWS REGIONAL MEDICALCENTER |
Practice Address |
1703 Meadows Ln Vidalia GA 30474-8915 |
Mailing Address |
Po Box 1048 Vidalia GA 30475-1048 |
Practice Telephone | 9125385872 |
Practice Fax Number | 9125385276 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MICHELLE COX (PHCY DIR) |
Authorized Official Telephone | 9125385871 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 333600000X | Pharmacy | PHRE007368 | GA | Suppliers |
X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000725084A | 05 | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 1154157 | 01 |
Other Name | Type Code |
---|---|
MEADOWS REGIONAL MEDICALCENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770575003 | Meadows Regional Medical Center Inc | General Acute Care Hospital | One Meadows Parkway, Vidalia, GA 30474 | 2005-08-23 |
Street Address |
1703 MEADOWS LN |
City | VIDALIA |
State | GA |
Zip Code | 30474-8915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285627588 | Meadows Regional Medical Center, Inc. | Skilled Nursing Facility | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2005-08-23 |
1861773764 | Montgomery Emergency Group, LLC | Physician Assistant | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2011-09-06 |
1891905121 | Miranda Leigh Quick | Occupational Therapy Assistant | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-05-23 |
1609086768 | John Marcus Norris | Physical Therapy Assistant | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-05-23 |
1891915534 | Wendy Neesmith | Physical Therapist | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-04-26 |
1720102361 | Vidalia Imaging Associates, LLC | Radiology | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-03-19 |
1912021684 | Meadows Regional Medical Center | General Acute Care Hospital | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-03-19 |
1861516908 | Rhonda Mack James | Dietitian, Registered | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-03-16 |
1962557454 | Frank Gibase Md PC | Anesthesiology | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-01-24 |
1629139142 | George A Ferrara | Anesthesiology | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2006-12-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
Find all providers in zip 30474 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437214012 | Phillips Drugs, Inc | Pharmacy | 306 W 1st St, Vidalia, GA 30474-3369 | 2006-12-26 |
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1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
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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.