HOSPITAL AUTHORITY OF IRWIN COUNTY (NPI# 1225689664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225689664 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF IRWIN COUNTY |
| Practice Address |
103 Parallel Ave Broxton GA 31519 |
| Practice Telephone | 9123593869 |
| Practice Fax Number | 9123592101 |
| Mailing Telephone | 9123593869 |
| Mailing Fax Number | 9123592101 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | DEBORAH DRIGGERS (HEALTH INFORMATION MGR) |
| Authorized Official Telephone | 4782891303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Broxton Family Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518357607 | Hospital Authority of Irwin County | Family Medicine | 602 N Irwin Ave, Ocilla, GA 31774-5010 | 2015-01-28 |
| 1437785995 | Hospital Authority of Irwin County | Family Medicine | 361 Cargile Rd, Ocilla, GA 31774-3606 | 2020-03-17 |
| Street Address |
103 PARALLEL AVE |
| City | BROXTON |
| State | GA |
| Zip Code | 31519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182674 | Jeffery Joe Dockery | Family Medicine | 103 Parallel Street, Broxton, GA 31519-0794 | 2005-08-26 |
| 1013327014 | Family Medical Associates-claxton, Inc | Clinic/Center | 103 Parallel Street, Broxton, GA 31519-0794 | 2014-04-30 |
| 1427194810 | Diane Webb | Social Worker | 133 Will Smith Rd, Broxton, GA 31519-3535 | 2007-01-30 |
| 1780124552 | Susan Adams Thurman | Speech-Language Pathologist | 185 Thurman Rd, Broxton, GA 31519-3713 | 2017-02-27 |
| 1578069969 | Susan A Thurman | Speech-Language Pathologist | 185 Thurman Rd, Broxton, GA 31519-3713 | 2018-04-04 |
| 1487983284 | Save Morx Drugs | Pharmacist | 205 Ocmulgee St E, Broxton, GA 31519-3981 | 2009-12-08 |
| 1811310055 | Filipinas Durano | Family Medicine | 168 Sapphire Rd, Broxton, GA 31519-5208 | 2014-01-23 |
| 1184253163 | Terri Rae Cater | Nurse Practitioner | 3170 Ga Highway 268 W, Broxton, GA 31519-5558 | 2020-04-02 |
| 1871620211 | Henry W Youngblood | Pharmacy | 402 Alabama St N, Broxton, GA 31519-6001 | 2007-02-27 |
| 1801201447 | Broxton Pharmacy LLC | Pharmacy | 402 Alabama St N, Broxton, GA 31519-6001 | 2014-06-23 |
| Find all providers in zip 31519 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1528673514 | Safe Haven Medical Services | Clinic/Center | 444 Racetrack Rd, Mcdonough, GA 30252-6837 | 2020-09-15 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| 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.