MEDLINK GEORGIA INC (NPI# 1235249236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235249236 |
| Entity Type | Organization |
| Organization Name | MEDLINK GEORGIA INC |
| Other Organization Name | MEDLINK BOWMAN |
| Practice Address |
206 E Church St Bowman GA 30624-2109 |
| Mailing Address |
Po Box 459 Colbert GA 30628-0459 |
| Practice Telephone | 7062457361 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | DAVID WARD (CEO) |
| Authorized Official Telephone | 7067883234 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDLINK GEORGIA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000471765B | 05 |
| Other Name | Type Code |
|---|---|
| MEDLINK BOWMAN | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829532 | Medlink Georgia Inc | Clinic/Center | 2148 Duluth Hwy Ste 112, Duluth, GA 30097-4505 | 2019-09-04 |
| 1750860508 | Medlink Georgia Inc | Clinic/Center | 137 W Athens St Ste 104, Winder, GA 30680-1786 | 2018-08-13 |
| 1851722524 | Medlink Georgia Inc | Clinic/Center | 396 Historic Hwy 441 N, Demorest, GA 30535-4522 | 2013-12-06 |
| 1568572576 | Medlink Georgia Inc | Clinic/Center | 123 Gordon St, Washington, GA 30673-1601 | 2006-08-30 |
| 1275643272 | Medlink Georgia Inc | Clinic/Center | 63 W Gibson St, Hartwell, GA 30643-1845 | 2006-08-30 |
| 1245340264 | Medlink Georgia Inc | Clinic/Center | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2006-08-30 |
| 1174177638 | Medlink Georgia Inc | Pharmacy | 396 Historic Hwy 441 N, Demorest, GA 30535 | 2019-08-01 |
| 1669951414 | Medlink Georgia Inc | Clinic/Center | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2018-08-13 |
| 1245732254 | Medlink Georgia Inc | Pharmacy | 11 Charlie Morris Rd, Colbert, GA 30628-2445 | 2018-03-06 |
| 1467909374 | Medlink Georgia Inc | Clinic/Center | 226 Steven B Tanger Blvd, Commerce, GA 30529-3571 | 2016-09-08 |
| Street Address |
206 E CHURCH ST |
| City | BOWMAN |
| State | GA |
| Zip Code | 30624-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083148423 | Stephen Aaron Purser | Family Medicine | 206 E Church St, Bowman, GA 30624-2109 | 2017-04-12 |
| 1841586328 | Sonya Lynn Dicara | Nurse Practitioner | 206 E Church St, Bowman, GA 30624-2109 | 2011-06-23 |
| 1699816322 | Samuel Kazue Sencil | Internal Medicine | 206 E Church St, Bowman, GA 30624-2109 | 2007-02-08 |
| 1063514669 | Tommy C Beeson | Family Medicine | 206 E Church St, Bowman, GA 30624-2109 | 2006-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467510172 | Linda Jean Franks | Counselor | 5 Public Sq, Suite 16, Bowman, GA 30624-1924 | 2006-12-05 |
| 1417194705 | James Duane Hazle | Technician, Other | 2275 Highway 172 W, Bowman, GA 30624-2529 | 2009-01-08 |
| 1760030993 | Karen Diana Anderson | Speech-Language Pathologist | 1960 Christian Rd, Bowman, GA 30624-2700 | 2019-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030993 | Karen Diana Anderson | Speech-Language Pathologist | 1960 Christian Rd, Bowman, GA 30624-2700 | 2019-08-30 |
| 1760964795 | Focus Eye Care Prof LLC | Optometrist | 16 W Divide Street, Bowman, ND 58623 | 2018-09-06 |
| 1760930929 | Dakota Southwestern Wellness, P. L.L.C. | Counselor | 606 4th St Sw, Bowman, ND 58623-4527 | 2016-09-16 |
| 1467842294 | Melissa A. Buchholz | Social Worker | 104 1st St Nw Ste 8, Bowman, ND 58623-4342 | 2015-02-02 |
| 1427454214 | Southwest Transportation Services | Non-emergency Medical Transport (VAN) | 18 11th Ave Sw, #1, Bowman, ND 58623-4610 | 2014-11-06 |
| 1154721413 | Meredith Taylor Felder | Speech-Language Pathologist | 7430 Charleston Hwy, Bowman, SC 29018-8851 | 2014-08-23 |
| 1417365529 | Bonnie J. Anderson | Dentist | 20 1st Ave Sw, Box E, Bowman, ND 58623-4213 | 2014-08-01 |
| 1437598356 | Mynita S. Harrison | Speech-Language Pathologist | 2672 Big Buck Blvd, Bowman, SC 29018-9663 | 2013-06-25 |
| 1992057236 | Sarah Jeanne Stuchl | Optometrist | 16 W Divide, Bowman, ND 58623 | 2012-10-10 |
| 1417234394 | Essential Behavior Counseling Services LLC | Counselor | 131 Poplar Street, Room 114, Bowman, SC 29018 | 2011-11-07 |
| Find all providers in BOWMAN | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
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| 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.