METHODIST HOME OF THE SOUTH GEORGIA CONFERENCE, INC.


Address: 304 Pierce Avenue, Macon, GA 31204
Phone: 4784643025

METHODIST HOME OF THE SOUTH GEORGIA CONFERENCE, INC. (NPI# 1255599346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255599346
Entity Type Organization
Organization Name METHODIST HOME OF THE SOUTH GEORGIA CONFERENCE, INC.
Practice Address 304 Pierce Avenue
Macon
GA 31204
Mailing Address 304 Pierce Ave
Macon
GA 31204-2422
Practice Telephone 4784643025
Practice Fax Number 4787423405
Mailing Telephone 4784643025
Mailing Fax Number 4787423405
Enumeration Date 2008-05-27
Last Update Date 2008-05-27
Authorized Official Name SANDRA GARDNER (CLINICAL DIRECTOR)
Authorized Official Telephone 4784643025
Authorized Official Credential LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable GA Agencies

Office Location

Street Address 304 PIERCE AVENUE
City MACON
State GA
Zip Code 31204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942775085 Amy Lynn Miller Counselor 890 Northwoods Plaza/burrus Road, Macon, GA 31204 2018-10-04
1275056566 Kenyada Moss Counselor 762 Thurmond Dr., Macon, GA 31204 2017-07-19
1508303876 Amber Foster Counselor 890 Northwoods Plaza, Macon, GA 31204 2017-01-25
1952757585 Sarah Vanselous Spencer Speech-Language Pathologist 2720 Sheraton Dr # D-140, Macon, GA 31204 2016-05-12
1952706343 Matthew Wayne Frazier Pharmacist 4260 Log Cabin Dr, Macon, GA 31204 2014-10-28
1215338587 Sharon Yvette Flewellen Licensed Practical Nurse 1876 Moore Street, Macon, GA 31204 2014-09-05
1336565647 Accel Wellness Center, LLC Specialist 3083 Vineville Avenue, Macon, GA 31204 2014-03-11
1821439811 Irene Gung Ho Physician Assistant 3203 Vineville Ave Ste A, Macon, GA 31204 2013-07-08
1518125657 Jennifer Burns Marriage & Family Therapist 116 Pierce Avenue, Macon, GA 31204 2008-05-27
1821219411 Daniel Russell Mills Social Worker 3419 Ridge Ave., Macon, GA 31204 2007-05-01
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1780913053 Ronald Mcdonald House Charities of Central Georgia Voluntary or Charitable 1160 Forsyth St, Macon, GA 31201-1736 2009-12-16
1427203900 Family Counseling Center of Central Ga., Inc. Voluntary or Charitable 277 Mlk Blvd. Suite 203, Macon, GA 31201 2008-11-25
1952557837 The Jonathan Foundation Voluntary or Charitable 312 Juniper Ln, Macon, GA 31220-7642 2008-08-12
1235230111 Central City Aids Network, Inc. Voluntary or Charitable 2020 Ingleside Ave, Macon, GA 31204-2028 2006-09-26
1962789370 Auditory Verbal Center, Inc. Voluntary or Charitable 2720 Sheraton Dr, Suite D-140, Macon, GA 31204-1167 2011-11-14

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1801339692 Nurture Future Youth Inc Voluntary or Charitable 185 Carolina Ln, Lavonia, GA 30553-1630 2016-11-28
1174987879 Ser Familia, Inc. Voluntary or Charitable 1700 Water Pl Se, Atlanta, GA 30339-2006 2016-04-08
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1487025482 American Association of Integrative & Pastoral Medicine Voluntary or Charitable 3695 Cascade Rd Sw # 117f, Atlanta, GA 30331-2173 2015-10-15
1326418724 Project Hope for Families Inc Voluntary or Charitable 390 Perry Hwy, Hawkinsville, GA 31036-6742 2015-09-29
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City MACON
Zip Code 31204

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Dataset Information

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.

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