CORRECTMED LOCUST GROVE, LLC (NPI# 1245554682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245554682 |
| Entity Type | Organization |
| Organization Name | CORRECTMED LOCUST GROVE, LLC |
| Practice Address |
4861 Bill Gardner Pkwy Suite 100 Locust Grove GA 30248-3644 |
| Mailing Address |
Po Box 538502 Atlanta GA 30353-8502 |
| Practice Telephone | 7706265740 |
| Practice Fax Number | 7706265750 |
| Mailing Telephone | 7706265740 |
| Mailing Fax Number | 7706265750 |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | MISS LINDA FAULKNER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7706265740 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 053123 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4861 BILL GARDNER PKWY SUITE 100 |
| City | LOCUST GROVE |
| State | GA |
| Zip Code | 30248-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326109877 | Linda Faulkner | Nurse Practitioner | 4861 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248-3644 | 2006-12-12 |
| 1336622166 | R. Jason Kent Physical Therapy, LLC | Clinic/Center | 4861 Bill Gardner Pkwy, Locust Grove, GA 30248-3644 | 2018-09-07 |
| 1598185548 | Acsh Primary Care of Georgia, LLC | Clinic/Center | 4861 Bill Gardner Pkwy, Locust Grove, GA 30248-3644 | 2014-04-17 |
| 1174943112 | Acsh Urgent Care of Georgia, LLC | Clinic/Center | 4861 Bill Gardner Pkwy, Locust Grove, GA 30248-3644 | 2014-04-17 |
| 1659650810 | Correctmed Scott, LLC | Pediatrics | 4861 Bill Gardner Pkwy, Ste 100, Locust Grove, GA 30248-3644 | 2011-08-05 |
| 1083866743 | James E Rose | Physician Assistant | 4861 Bill Gardner Pkwy, Ste 100, Locust Grove, GA 30248-3644 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809779 | Uyen Nguyen | Dentist | 4146 Ga-42, Locust Grove, GA 30248 | 2019-06-10 |
| 1669038303 | Monique Antoinette Joseph | Nurse Practitioner | 3334 Highway 155 Ste B, Locust Grove, GA 30248 | 2019-05-17 |
| 1811552524 | Fresenius Medical Care Locust Grove, LLC | Clinic/Center | 2855 Ga-155 S, Locust Grove, GA 30248 | 2019-05-08 |
| 1972167765 | Wesley Todd Livingston | Pharmacist | 2730 Ga 155, Locust Grove, GA 30248 | 2019-04-26 |
| 1053974550 | Wish You Well Youth Faith Foundation Inc | Contractor | 147 Laughlin Dr, Locust Grove, GA 30248 | 2019-04-19 |
| 1740776517 | Takle Eye Surgery Center LLC | Clinic/Center | 1075 Bandy Pkwy, Ste 105, Locust Grove, GA 30248 | 2018-07-05 |
| 1508357559 | Justin Robert Crumpton | Behavioral Analyst | 212 Westin Park Dr, Locust Grove, GA 30248 | 2018-05-25 |
| 1730679051 | Lisa Renee Jones | Family Medicine | 3778 G 42, Locus Grove, GA 30248 | 2018-05-11 |
| 1275042152 | Stephanie Jones Headen | Counselor | 211 Peeksville Rd., Locust Grove, GA 30248 | 2017-09-23 |
| 1942735592 | Brandi Nicole Buice Minter | Pharmacist | 4920 Bill Gardner Parkway, Locust Grove, GA 30248 | 2017-04-20 |
| Find all providers in zip 30248 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467654574 | Country Doctor, Ltd | Family Medicine | 35070 Germanna Heights Dr, Ste A, Locust Grove, VA 22508-3108 | 2007-06-01 |
| 1265567796 | Jameson Andrew Estes | Family Medicine | 3334 Highway 155, Locust Grove, GA 30248-3513 | 2007-02-23 |
| 1992802227 | Robert Hart Prasse II | Family Medicine | 35070-a Germanna Heights Dr, Locust Grove, VA 22508-3108 | 2006-09-20 |
| 1154371524 | Lora M Collier | Family Medicine | 609 E Main, Locust Grove, OK 74352 | 2006-05-10 |
| 1164486171 | Dawn Renee Alexander | Family Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2006-04-14 |
| 1720088511 | Shehnaz Makhani | Family Medicine | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2005-07-22 |
| 1629074299 | Nimisha J Trivedi | Family Medicine | 3778 Highway 42, Locust Grove, GA 30248 | 2005-06-28 |
| 1851823520 | Regan Joy Frake | Family Medicine | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2017-03-31 |
| 1265744759 | Jean Robert Ferdinand | Family Medicine | 3334 Highway 155, Locust Grove, GA 30248-3513 | 2010-07-13 |
| 1871763011 | Chetan Sharma | Family Medicine | 3778 Highway 42, Locust Grove, GA 30248-3632 | 2008-03-04 |
| Find all providers in LOCUST GROVE | ||||
| City | LOCUST GROVE |
| Zip Code | 30248 |
Please comment or provide details below to improve the information on CORRECTMED LOCUST GROVE, LLC.
| 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.