OCONEE VALLEY HEALTHCARE INC (NPI# 1215235320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215235320 |
| Entity Type | Organization |
| Organization Name | OCONEE VALLEY HEALTHCARE INC |
| Practice Address |
1041 Park Dr Greensboro GA 30642-3465 |
| Practice Telephone | 7064534945 |
| Practice Fax Number | 7064532954 |
| Mailing Telephone | 7064534945 |
| Mailing Fax Number | 7064532954 |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | DR. DAVE RINGER (CEO) |
| Authorized Official Telephone | 7064531201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Medical of Lake Oconee | Doing Business As Name - Organization |
| Lake Oconee | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770822496 | Oconee Valley Healthcare Inc | Clinic/Center | 510 N Cobb St, Milledgeville, GA 31061-2635 | 2013-02-01 |
| 1144771106 | Oconee Valley Healthcare Inc | Clinic/Center | 1040 Park Dr, Greensboro, GA 30642 | 2016-10-14 |
| 1790106623 | Oconee Valley Healthcare Inc | Clinic/Center | 60 Ga Highway 22 W, Milledgeville, GA 31061-6606 | 2013-12-19 |
| 1255433736 | Oconee Valley Healthcare Inc | Clinic/Center | 803 S Main St, Greensboro, GA 30642-1211 | 2006-09-04 |
| Street Address |
1041 PARK DR |
| City | GREENSBORO |
| State | GA |
| Zip Code | 30642-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992784433 | Dave A Ringer | Family Medicine | 1041 Park Dr, Greensboro, GA 30642-3465 | 2006-01-12 |
| 1629528450 | Kelly Wiedower | Nurse Practitioner | 1041 Park Dr, Greensboro, GA 30642-3465 | 2016-10-05 |
| 1255648473 | Performance Chiropractic & Wellness | Clinic/Center | 1041 Park Dr, Greensboro, GA 30642-3465 | 2010-09-09 |
| 1881915023 | Donna Amanda Kauffman | Nurse Practitioner | 1041 Park Dr, Greensboro, GA 30642-3465 | 2010-06-22 |
| 1629266937 | Craig Colby | Family Medicine | 1041 Park Dr, Greensboro, GA 30642-3465 | 2007-10-11 |
| 1790861581 | Family Medical Associates of Lake Oconee PC | Family Medicine | 1041 Park Dr, Greensboro, GA 30642-3465 | 2006-10-27 |
| 1639254881 | Marilyn Digamon-beltran | Family Medicine | 1041 Park Dr, Greensboro, GA 30642 | 2006-10-26 |
| 1821066093 | Robert T Perry | Family Medicine | 1041 Park Dr, Greensboro, GA 30642-3465 | 2006-03-14 |
| 1700854189 | Sally Mitchell Powell | Nurse Practitioner | 1041 Park Dr, Greensboro, GA 30642-3465 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
| 1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
| 1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
| 1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
| 1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
| 1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
| 1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
| 1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
| 1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
| 1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
| Find all providers in zip 30642 | ||||
| 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 |
|---|---|---|---|---|
| 1326348087 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1439 E Cone Blvd, Greensboro, NC 27405-4533 | 2010-10-28 |
| 1710049986 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 433 W. Meadowview Road, Greensboro, NC 27406-4316 | 2006-12-14 |
| 1285655936 | Whatley Health Services Inc | Clinic/Center | 800 Hall St, Greensboro, AL 36744 | 2006-07-21 |
| 1831197938 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 433 W Meadowview Road, Greensboro, NC 27406-4316 | 2005-07-12 |
| 1144771106 | Oconee Valley Healthcare Inc | Clinic/Center | 1040 Park Dr, Greensboro, GA 30642 | 2016-10-14 |
| 1063882165 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1102 E Market St, Greensboro, NC 27401-6056 | 2015-10-01 |
| 1609279504 | Triad Adult and Pediatric Medicine, Inc. | Clinic/Center | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2014-10-06 |
| 1831441104 | Cornerstone Car Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2012-10-10 |
| 1215288774 | Cornerstone Care Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2012-09-25 |
| 1407139439 | Cornerstone Care Inc. | Clinic/Center | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2011-09-26 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 30642 |
Please comment or provide details below to improve the information on OCONEE VALLEY HEALTHCARE INC.
| 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.