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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251V00000X | Voluntary or Charitable | GA | Agencies |
Street Address |
304 PIERCE AVENUE |
City | MACON |
State | GA |
Zip Code | 31204 |
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 |
Find all providers in zip 31204 |
Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
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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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1326418724 | Project Hope for Families Inc | Voluntary or Charitable | 390 Perry Hwy, Hawkinsville, GA 31036-6742 | 2015-09-29 |
1740650084 | The Foundation for Therapeutic and Spiritual Empowerment Svcs Inc | Voluntary or Charitable | 1246 Concord Rd Se # C, Suite 203, Smyrna, GA 30080-4394 | 2015-09-29 |
1114314630 | God Sent Transitional Housing | Voluntary or Charitable | 1164 Interlaken Pass, Jonesboro, GA 30238-8019 | 2015-04-22 |
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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.