TOCCOA CLINIC MEDICAL ASSOCIATES (NPI# 1114127107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114127107 |
| Entity Type | Organization |
| Organization Name | TOCCOA CLINIC MEDICAL ASSOCIATES |
| Practice Address |
590 Historic 441 North Suite D Demorest GA 30535-4561 |
| Mailing Address |
590 Historic 441 N Suite D Demorest GA 30535-4561 |
| Practice Telephone | 7068867537 |
| Practice Fax Number | 7068866542 |
| Mailing Telephone | 7068867537 |
| Mailing Fax Number | 7068866542 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | DR. JIM R WADE (PHYSICIAN) |
| Authorized Official Telephone | 7068867537 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710186168 | Toccoa Clinic Medical Associates | Durable Medical Equipment & Medical Supplies | 269 Ridgecrest Cir, Clayton, GA 30525-4109 | 2007-07-16 |
| 1831398270 | Toccoa Clinic Medical Associates | Durable Medical Equipment & Medical Supplies | 12192 Augusta Rd, Lavonia, GA 30553-1209 | 2007-07-16 |
| Street Address |
590 HISTORIC 441 NORTH SUITE D |
| City | DEMOREST |
| State | GA |
| Zip Code | 30535-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353355 | Kristen Diana Maxwell X | Nurse Practitioner | 396 Historic Highway 441 North, Demorest, GA 30535 | 2020-07-16 |
| 1659925972 | Jared Davis | Physical Therapist | 541 Historic Hiwy 441, Demorest, GA 30535 | 2019-07-25 |
| 1669939070 | Habersham Medical Center Foundation, Inc. | Pharmacy | 541 Old Historic Hwy 441 N Ste 1, Demorest, GA 30535 | 2019-02-22 |
| 1114417128 | The Hospital Authority of Habersham County | Family Medicine | 638 Hwy 441 N Suite B-2, Demorest, GA 30535 | 2018-05-15 |
| 1578077434 | Linh My Dao | Registered Nurse | 541 Historic Hwy. 441-n, Demorest, GA 30535 | 2017-11-29 |
| 1447797063 | Cmvo, LLC | Pharmacy | 4654 Highway 115, Unit 1, Demorest, GA 30535 | 2017-01-20 |
| 1851741128 | Katherine Glenn | Physical Therapy Assistant | 541 Us-441 Bus, Demorest, GA 30535 | 2016-06-17 |
| 1558735886 | Waterfall Emergency Physicians, LLC | Physician Assistant | 541 Historic Hwy 441n, Demorest, GA 30535 | 2015-11-24 |
| 1407278237 | Deborah Gale | Pharmacist | 116 Savannah Ter, Demorest, GA 30535 | 2014-01-14 |
| 1538580576 | Garrett Family Medicine, LLC | Family Medicine | 590 Historic Hwy 441 Lower Level, Demorest, GA 30535 | 2013-12-18 |
| Find all providers in zip 30535 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114963139 | Bms Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 638 Historic Hwy 441 Ste A, Demorest, GA 30535 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
| 1952901027 | Get - Well Medical Supply | Durable Medical Equipment & Medical Supplies | 5604 Wendy Bagwell Pkwy Ste 322, Hiram, GA 30141-7814 | 2020-10-28 |
| 1407455462 | Extending A Hand Home Care | Durable Medical Equipment & Medical Supplies | 207 Mill Ln, Tennille, GA 31089-4308 | 2020-10-21 |
| 1609475565 | Tonika Tchampo | Durable Medical Equipment & Medical Supplies | 8050 Taylor Rd Apt 1101, Riverdale, GA 30274-4392 | 2020-10-21 |
| 1629685649 | Rec Leasing LLC | Durable Medical Equipment & Medical Supplies | 6842 Roy Rd, Ellijay, GA 30536-6468 | 2020-09-24 |
| 1659986776 | Carmichael Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2950 Cherokee St Nw Ste 620, Kennesaw, GA 30144-6505 | 2020-09-15 |
| 1699380030 | Capstone Hme Inc | Durable Medical Equipment & Medical Supplies | 1129 Mente Dr, Savannah, GA 31415-3104 | 2020-09-12 |
| 1740895580 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 801 Broad St Ste 602, Augusta, GA 30901-1227 | 2020-09-09 |
| 1821602202 | Mcgarity Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3081 Stone Mountain St Ste A, Lithonia, GA 30058-4426 | 2020-09-03 |
| 1265044150 | Getwell Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 310 Glynn St N Ste B401, Fayetteville, GA 30214-1105 | 2020-08-20 |
| 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.