EAST GEORGIA HEALTHCARE CENTER INC (NPI# 1194258327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194258327 |
| Entity Type | Organization |
| Organization Name | EAST GEORGIA HEALTHCARE CENTER INC |
| Practice Address |
1075 E Winthrope Ave Millen GA 30442-6766 |
| Mailing Address |
215 N Coleman St Swainsboro GA 30401-3530 |
| Practice Telephone | 4782372638 |
| Practice Fax Number | 4782379138 |
| Mailing Telephone | 4782996992 |
| Mailing Fax Number | 4782379138 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | JENNIE WREN C DENMARK (CEO) |
| Authorized Official Telephone | 4782376262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621418 | East Georgia Healthcare Center Inc | Clinic/Center | 6459 Us Hwy 301 S, Claxton, GA 30417 | 2018-06-04 |
| 1801239389 | East Georgia Healthcare Center Inc | Clinic/Center | 1636 Hatch Parkway South, Baxley, GA 31513 | 2013-04-15 |
| 1225364524 | East Georgia Healthcare Center Inc | Clinic/Center | 1570 Brampton Avenue, Statesboro, GA 30458-0855 | 2009-10-22 |
| 1366089062 | East Georgia Healthcare Center Inc | Clinic/Center | 121 N Main St, Sylvania, GA 30467-1818 | 2019-12-02 |
| 1972160422 | East Georgia Healthcare Center Inc | Clinic/Center | 206 N Green St, Swainsboro, GA 30401-3218 | 2019-05-21 |
| 1346625928 | East Georgia Healthcare Center Inc | Clinic/Center | 257 N Main St, Wadley, GA 30477 | 2015-07-24 |
| 1386031706 | East Georgia Healthcare Center Inc | Clinic/Center | 215 N Coleman St, Swainsboro, GA 30401-3530 | 2015-04-23 |
| Street Address |
1075 E WINTHROPE AVE |
| City | MILLEN |
| State | GA |
| Zip Code | 30442-6766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114459567 | Billie Salina Stout | Nurse Practitioner | 1075 E Winthrope Ave, Millen, GA 30442-6766 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811443468 | Jennifer Lunsford | Nurse Practitioner | 961 East Winthrope Ave, Millen, GA 30442 | 2016-09-01 |
| 1669522801 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 727 Virginia Avenue, Millen, GA 30442 | 2007-01-11 |
| 1669535514 | Jenkins County Boe | Local Education Agency (LEA) | 1152 E Winthrope Ave, Millen, GA 30442 | 2006-12-19 |
| 1437236320 | Modesto L Campo | Internal Medicine | 961 E. Winthrope Avenue, Millen, GA 30442 | 2006-10-31 |
| 1316020696 | Pamela W. Drake | Registered Nurse | 709 Virginia Ave., Millen, GA 30442 | 2006-10-23 |
| 1669555702 | Donna E. Hendley | Registered Nurse | 709 Virginia Avenue, Millen, GA 30442 | 2006-10-23 |
| 1255384327 | Jenkins County Board of Health | Public Health or Welfare | 709 Virginia Ave, Millen, GA 30442 | 2006-05-18 |
| 1033186648 | Edmund Gordon Byne | Family Medicine | 961 E Winthrope Ave, Millen, GA 30442 | 2006-03-02 |
| 1497800098 | Amanda Harrison | Counselor | 727 Virginia Avenue, Millen, GA 30442 | 2007-01-24 |
| 1790962256 | Millen Home Care Medical, Inc | Durable Medical Equipment & Medical Supplies | 530 College Ave, Millen, GA 30442-1602 | 2008-01-28 |
| Find all providers in zip 30442 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 |
| 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.