PALMETTO HEALTH COUNCIL INC


Address: 643 Main St, Palmetto, GA 30268-1138
Phone: 7704634644

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 000472128A 05

Other Provider/Organization Names

Other Name Type Code
Community Medical Center Doing Business As Name - Organization
YourTown Health Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 643 MAIN ST
City PALMETTO
State GA
Zip Code 30268-1138

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891395620 Primary Health Care Center of Dade, Inc. Clinic/Center 8a Probasco Street Unit 214, Lafayette, GA 30728 2020-10-30
1366066243 Health Education Assessment and Leadership Inc Clinic/Center 225 Griffin St Nw, Atlanta, GA 30314-3917 2020-06-05
1851924377 Valley Healthcare System Clinic/Center 1458 Benning Dr, Columbus, GA 31903-2200 2020-02-13
1952941528 Curtis V. Cooper Primary Health Care, Inc Clinic/Center 400 E Broad St, Savannah, GA 31401-5104 2020-01-13
1023658523 Saint Joseph's Mercy Care Services, Inc. Clinic/Center 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 2020-01-13
1467092221 Careconnect Health, Inc. Clinic/Center 130 N Lee St, Forsyth, GA 31029-2122 2020-01-09
1417597238 The Family Health Centers of Georgia, Inc Clinic/Center 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 2020-01-09
1649810714 Careconnect Health, Inc. Clinic/Center 254 Wright Avenue, Roberta, GA 31078 2020-01-07
1437798725 Careconnect Health, Inc. Clinic/Center 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 2020-01-03
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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Competitor

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City PALMETTO
Zip Code 30268

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Dataset Information

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.

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