PALMETTO HEALTH COUNCIL INC (NPI# 1184884678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184884678 |
Entity Type | Organization |
Organization Name | PALMETTO HEALTH COUNCIL INC |
Other Organization Name | YOURTOWN HEALTH |
Practice Address |
643 Main St Palmetto GA 30268-1138 |
Practice Telephone | 7704634644 |
Practice Fax Number | 7704639885 |
Mailing Telephone | 4049298824 |
Mailing Fax Number | 4049299769 |
Enumeration Date | 2008-06-10 |
Last Update Date | 2019-05-10 |
Authorized Official Name | JANINE WELLS (CREDENTIALING) |
Authorized Official Telephone | 4049298824 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | H800040 | GA | Allopathic & Osteopathic Physicians |
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
H800040 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000472128A | 05 |
Other Name | Type Code |
---|---|
Community Medical Center | Doing Business As Name - Organization |
YourTown Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629238126 | Palmetto Health Council Inc | Family Medicine | 200 North Hwy # 29, Hogansville, GA 30230-1142 | 2008-06-10 |
1134344732 | Palmetto Health Council Inc | Family Medicine | 16201 Barnesville St, Zebulon, GA 30295-3380 | 2007-04-17 |
1467612952 | Palmetto Health Council Inc | Family Medicine | 202 Croft St, Carrollton, GA 30117-3803 | 2008-06-10 |
1164682662 | Palmetto Health Council Inc | Family Medicine | 101 Commerce Pl, Suite 1, Barnesville, GA 30204-1680 | 2008-06-10 |
1740372473 | Palmetto Health Council Inc | Clinic/Center | 643 Main St, Palmetto, GA 30268-1138 | 2006-09-29 |
Street Address |
643 MAIN ST |
City | PALMETTO |
State | GA |
Zip Code | 30268-1138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750388906 | Hector J. Viera | Dentist | 643 Main St, Palmetto, GA 30268-1138 | 2005-07-01 |
1730674045 | Elizabeth Maria Zarantonello | Nurse Practitioner | 643 Main St, Palmetto, GA 30268-1138 | 2018-06-28 |
1699167684 | Ashleigh Elise Heath | Nurse Practitioner | 643 Main St, Palmetto, GA 30268-1138 | 2015-02-27 |
1528322922 | Gabriela Pena | Family Medicine | 643 Main St, Palmetto, GA 30268-1138 | 2012-06-29 |
1447561501 | Adam Joseph Barefoot | Dentist | 643 Main St, Palmetto, GA 30268-1138 | 2010-06-23 |
1437488426 | Palmetto Health Council, Inc. | Pharmacy | 643 Main St, Palmetto, GA 30268-1138 | 2009-12-22 |
1215157060 | Frederick Moore | Dentist | 643 Main St, Palmetto, GA 30268-1138 | 2007-04-26 |
1942424221 | Nasser Issa Fiqia | Dentist | 643 Main St, Palmetto, GA 30268-1138 | 2007-04-11 |
1609944917 | Milanieva Latorre | Family Medicine | 643 Main St, Palmetto, GA 30268-1138 | 2006-12-04 |
1699843953 | Isabel Maria Soles | Family Medicine | 643 Main St, Palmetto, GA 30268-1138 | 2006-12-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013521491 | Hla Ambulance LLC | Ambulance | 43 Amanda Ln, Palmetto, GA 30268 | 2020-09-03 |
1134779424 | Center for Positive Change LLC | Counselor | 11207 Serenbe Lane, Hills, GA 30268 | 2019-09-18 |
1336397868 | Key David Mcmurrain Jr. | Preventive Medicine | 10180 Capps Ferry Road, Palmetto, GA 30268 | 2008-09-09 |
1548333115 | Carolyn E Johnson | Registered Nurse | 507 Park Street, Palmetto, GA 30268 | 2006-11-15 |
1386710796 | Gary Lane Watts | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2006-11-28 |
1285707455 | Angela P. Shannon | Psychiatry & Neurology | 507 Park St, Palmetto, GA 30268-1007 | 2006-11-16 |
1952967234 | Palmetto Health Council, Inc. | Clinic/Center | 507 Park St, Palmetto, GA 30268-1007 | 2019-05-13 |
1447791835 | Lyzette Santiago Rodriguez | Counselor | 507 Park St, Palmetto, GA 30268-1007 | 2017-03-17 |
1841580560 | Palmetto Family Dental, PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2011-04-14 |
1861631053 | Jordan Albert Brunson | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2009-02-11 |
Find all providers in zip 30268 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952967234 | Palmetto Health Council, Inc. | Clinic/Center | 507 Park St, Palmetto, GA 30268-1007 | 2019-05-13 |
1740372473 | Palmetto Health Council Inc | Clinic/Center | 643 Main St, Palmetto, GA 30268-1138 | 2006-09-29 |
1124059753 | Mcr Health, Inc. | Clinic/Center | 404 7th St W, Palmetto, FL 34221-5209 | 2006-07-05 |
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1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
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1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
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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.