GEORGIA SOUTHERN UNIVERSITY SCHOOL OF NURSING COMMUNITY NURSING CENTER (NPI# 1255575890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255575890 |
| Entity Type | Organization |
| Organization Name | GEORGIA SOUTHERN UNIVERSITY SCHOOL OF NURSING COMMUNITY NURSING CENTER |
| Practice Address |
250 Forrest Dr Rm# 1004 Statesboro GA 30460-0001 |
| Practice Telephone | 9124785166 |
| Practice Fax Number | 9124785400 |
| Mailing Telephone | 9124785166 |
| Mailing Fax Number | 9124785400 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |
| Authorized Official Name | MS. ANGELA DAWNE THOMPSON (DIRECTOR OF NURSING CLINIC) |
| Authorized Official Telephone | 9124785166 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
RN117953 NP | GA | Ambulatory Health Care Facilities |
| Street Address |
250 FORREST DR RM# 1004 |
| City | STATESBORO |
| State | GA |
| Zip Code | 30460-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760589683 | Andrea Elizabeth Bethel | Optometrist | 984 Plant Dr, Statesboro, GA 30460 | 2006-09-20 |
| 1699140855 | Amy Luna | Psychologist | 788 Forest Dr, Statesboro, GA 30460-0001 | 2015-12-14 |
| 1437559333 | Catherine Mcculley | Student in an Organized Health Care Education/Training Program | 590 Herty Dr, Statesboro, GA 30460-0001 | 2014-08-27 |
| 1851621080 | Shannon Kay Salter Fussell | Psychologist | Forest Dr, Counseling and Career Development Center, Statesboro, GA 30460-0001 | 2010-01-11 |
| 1194924449 | Thomas Andrew Buckley | Specialist/Technologist | Georgia Southern University, Health & Kinesiology, Statesboro, GA 30460-0001 | 2007-07-17 |
| 1831310721 | Brant Douglas Berkstresser | Specialist/Technologist | 50 Herty Dr, Hanner Fieldhouse, Georgia Southern University, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1376764340 | Brandy Anne Petty | Physical Medicine & Rehabilitation | Georgia Southern University Hanner Fieldhouse, Herty Drive, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1518010230 | Constance E Morgan | Nurse Practitioner | 0404 Forest Dr, Statesboro, GA 30460-0001 | 2007-01-18 |
| 1770670259 | Catherine K Dickens | Specialist | 0404 Forrest Dr, Georgia Southern University Health Services, Statesboro, GA 30460-0001 | 2006-10-06 |
| 1720187602 | Forest Heights Phcy Inc | Pharmacy | Hlth Svcs Bldg, Watson Hall, Statesboro, GA 30460-0001 | 2006-09-21 |
| Find all providers in zip 30460 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629693411 | Priority Health and Wellness | Clinic/Center | 3855 Oakview Dr Ste 400, Powder Springs, GA 30127-2233 | 2020-06-08 |
| 1508494519 | Solvent LLC | Clinic/Center | 104 Brandon Way, Byron, GA 31008-5433 | 2020-03-27 |
| 1275178683 | Lezthon Homecare Inc | Clinic/Center | 2884 Snapfinger Mnr, Decatur, GA 30035-4167 | 2019-11-08 |
| 1023650231 | Tony Moses | Clinic/Center | 4650 Dawn Ct, Columbus, GA 31907-6655 | 2019-10-09 |
| 1174183172 | Your Choice Home Care LLC | Clinic/Center | 3326 Madison Ridge Trl, Snellville, GA 30039-6815 | 2019-06-20 |
| 1700357878 | The Shafiq Group | Clinic/Center | 910 Athens Hwy Ste K245, Loganville, GA 30052-4952 | 2018-12-16 |
| 1518477157 | Choosing Independence Inc | Clinic/Center | 115 Martin Luther King Jr Dr Sw Ste 225-102, Atlanta, GA 30303-3536 | 2017-10-10 |
| 1295256857 | Brittany Carter Lcsw LLC | Clinic/Center | 5000 Austell Powder Springs Rd Ste 283-1, Austell, GA 30106-2442 | 2017-07-03 |
| 1922539725 | Mpowerr Health & Wellness of Atlanta Inc. | Clinic/Center | 3616 Ginnis Rd Sw Unit 2, Atlanta, GA 30331-8574 | 2017-03-23 |
| 1093172652 | M D Whitest Medical Institute Inc | Clinic/Center | 401 N 15th St, Cordele, GA 31015-2932 | 2016-01-26 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30460 |
Please comment or provide details below to improve the information on GEORGIA SOUTHERN UNIVERSITY SCHOOL OF NURSING COMMUNITY NURSING CENTER.
| 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.