EMANUEL MEDICAL CENTER (NPI# 1124650239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124650239 |
| Entity Type | Organization |
| Organization Name | EMANUEL MEDICAL CENTER |
| Practice Address |
117 Kite Rd Swainsboro GA 30401-3231 |
| Practice Telephone | 4782891302 |
| Practice Fax Number | 4782891316 |
| Mailing Telephone | 9122536008 |
| Mailing Fax Number | 4782891316 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | BAILEY RUCKER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 4782891302 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891062386 | Emanuel Medical Center | General Acute Care Hospital | 825 Delbon Ave, Turlock, CA 95382-2016 | 2011-11-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EMANUEL MEDICAL CENTER | 825 Delbon Ave, Turlock, CA 95382-2016 |
| Oregon Corporations, Companies and Business Names | EMANUEL MEDICAL CENTER FOUNDATION | Legacy Health, 1919 Nw Lovejoy, PORTLAND OR |
| Street Address |
117 KITE RD |
| City | SWAINSBORO |
| State | GA |
| Zip Code | 30401-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912524 | James R Payne | Physician Assistant | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2005-09-13 |
| 1891346789 | Rhonda F Oglesby | Nurse Practitioner | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2019-09-23 |
| 1407417330 | Emc Physician Group | Family Medicine | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2019-06-21 |
| 1477026599 | Nicholas Luecke | Nurse Practitioner | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2019-01-11 |
| 1043798648 | Emanuel County Hospital Authority | Clinic/Center | 117 Kite Rd, Swainsboro, GA 30401 | 2018-08-06 |
| 1487162616 | Wanda Nell Mcquitty | Nurse Practitioner | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2018-01-23 |
| 1497288435 | Deidre Savedge Woods | Nurse Practitioner | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2017-04-06 |
| 1144671769 | Jodi Brannen | Physician Assistant | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2016-06-24 |
| 1740671908 | Emanuel County Hospital Authority | Psychiatric Unit | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2015-02-10 |
| 1194007971 | Mary Jo Greenway | Nurse Practitioner | 117 Kite Rd, Second Floor, Swainsboro, GA 30401-3231 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114589595 | Mandi Marion Wright | Nurse Practitioner | 117 Kight Road, Swainsboro, GA 30401 | 2019-07-05 |
| 1043767544 | Kathy Flakes | Licensed Practical Nurse | 223 N Anderson Drive, Swainsboro, GA 30401 | 2016-09-01 |
| 1023326220 | Family Podiatry Center PC | Podiatrist | 125a Victory Dr, Swainsboro, GA 30401 | 2010-09-22 |
| 1548578123 | United Rehab Inc | Clinic/Center | 856 U S Highway 1 South, Swainsboro, GA 30401 | 2010-09-17 |
| 1386967305 | William Donald Wages Jr. | Physical Therapy Assistant | 114 Victory Drive, Swainsboro, GA 30401 | 2010-03-04 |
| 1487989885 | Jimmy H Maddox | Nurse Practitioner | 117 Kite Road, Swainsboro, GA 30401 | 2009-10-02 |
| 1649319997 | Swainsboro Healthcare PC | Family Medicine | 305 Kite Road, Swainsboro, GA 30401 | 2007-02-05 |
| 1922153543 | Joyce Dianne Spence | Registered Nurse | 223 Anderson Dr N, Swainsboro, GA 30401 | 2007-01-24 |
| 1942355565 | Lucille Sapp | Registered Nurse | 223 N. Anderson Drive, Swainsboro, GA 30401 | 2007-01-24 |
| 1366592388 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 1007 Highway 56 South, Swainsboro, GA 30401 | 2007-01-11 |
| Find all providers in zip 30401 | ||||
| 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 |
|---|---|---|---|---|
| 1144671504 | Cardinal Health 132 LLC | Pharmacy | 215 N Coleman St Ste 100, Swainsboro, GA 30401-3530 | 2016-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SWAINSBORO |
| Zip Code | 30401 |
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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.