TY COBB HEALTHCARE SYSTEM, INC. (NPI# 1215959341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215959341 |
| Entity Type | Organization |
| Organization Name | TY COBB HEALTHCARE SYSTEM, INC. |
| Other Organization Name | HOME BASE HEALTH SERVICES |
| Practice Address |
29 Clear Creek Pkwy Lavonia GA 30553-4172 |
| Practice Telephone | 8774855718 |
| Practice Fax Number | 7063567403 |
| Mailing Telephone | 8774855718 |
| Mailing Fax Number | 7063567403 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | MR. MATT R MCREE (CFO) |
| Authorized Official Telephone | 7063567456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS OF GEORGIA | 52448230 | 01 |
| GA | 000059562C | 05 |
| Other Name | Type Code |
|---|---|
| Home Base Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962771287 | Ty Cobb Healthcare System, Inc. | Preventive Medicine | 12134 Augusta Rd, Lavonia, GA 30553-1208 | 2011-12-15 |
| Street Address |
29 CLEAR CREEK PKWY |
| City | LAVONIA |
| State | GA |
| Zip Code | 30553-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669840666 | Trinity Healthcare of Winston-salem, Inc. | Durable Medical Equipment & Medical Supplies | 29 Clear Creek Pkwy, Lavonia, GA 30553 | 2015-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467710152 | Hartwell Emergency Physicians LLC | Emergency Medicine | 367 Clear Creek Rd, Lavonia, GA 30553 | 2012-05-01 |
| 1538425210 | Ty Cobb Regional Medical Center, Inc | Pharmacy | 367 Clearcreek Parkway, Lavonia, GA 30553 | 2012-04-06 |
| 1326304486 | Ty Cobb Regional Medical Center LLC | General Acute Care Hospital | 367 Clear Creek Parkway, Lavonia, GA 30553 | 2012-04-03 |
| 1558417006 | Dale Leonard Stone | Dentist | 5771 Vickery St, Lavonia, GA 30553 | 2007-01-26 |
| 1942366901 | Donna Morgan Riggins | Pharmacist | 12240 Augusta Rd, Riggins Pharmacy LLP, Lavonia, GA 30553 | 2006-12-27 |
| 1568528529 | Gerald Harris Riggins | Pharmacist | 12240 Augusta Rd, Riggins Pharmacy LLP, Lavonia, GA 30553 | 2006-12-27 |
| 1730245796 | Riggins Pharmacy Inc | Pharmacy | 12240 Augusta Rd, Lavonia, GA 30553 | 2006-12-27 |
| 1063795573 | Medics of Northeast Georgia, Incorporated | Durable Medical Equipment & Medical Supplies | 13375 Jones St, Suite D, Lavonia, GA 30553-1147 | 2011-09-21 |
| 1215093430 | Child and Adolescent Medical Providers, P.C. | Pediatrics | 13375 Jones St Ste C, Lavonia, GA 30553-1147 | 2006-12-29 |
| 1487928701 | Franklin County Eye Care | Optometrist | 13375 Jones St, Suite B-2, Lavonia, GA 30553-1147 | 2012-03-05 |
| Find all providers in zip 30553 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063795573 | Medics of Northeast Georgia, Incorporated | Durable Medical Equipment & Medical Supplies | 13375 Jones St, Suite D, Lavonia, GA 30553-1147 | 2011-09-21 |
| 1164531687 | Rite Aid of Georgia Inc | Durable Medical Equipment & Medical Supplies | 13387 Jones Street, Lavonia, GA 30553-1164 | 2006-08-29 |
| 1659895142 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13387 Jones St, Lavonia, GA 30553-1164 | 2017-07-27 |
| 1831398270 | Toccoa Clinic Medical Associates | Durable Medical Equipment & Medical Supplies | 12192 Augusta Rd, Lavonia, GA 30553-1209 | 2007-07-16 |
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|---|---|---|---|---|
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| 1629685649 | Rec Leasing LLC | Durable Medical Equipment & Medical Supplies | 6842 Roy Rd, Ellijay, GA 30536-6468 | 2020-09-24 |
| 1659986776 | Carmichael Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2950 Cherokee St Nw Ste 620, Kennesaw, GA 30144-6505 | 2020-09-15 |
| 1699380030 | Capstone Hme Inc | Durable Medical Equipment & Medical Supplies | 1129 Mente Dr, Savannah, GA 31415-3104 | 2020-09-12 |
| 1740895580 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 801 Broad St Ste 602, Augusta, GA 30901-1227 | 2020-09-09 |
| 1821602202 | Mcgarity Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3081 Stone Mountain St Ste A, Lithonia, GA 30058-4426 | 2020-09-03 |
| 1265044150 | Getwell Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 310 Glynn St N Ste B401, Fayetteville, GA 30214-1105 | 2020-08-20 |
| 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.