MACON OCCUPATIONAL MEDICINE (NPI# 1255834321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255834321 |
| Entity Type | Organization |
| Organization Name | MACON OCCUPATIONAL MEDICINE |
| Practice Address |
821 N Cobb St Milledgeville GA 31061-2343 |
| Practice Telephone | 4784543505 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Authorized Official Name | LEONARD BEVILL (PRESIDENT/CEO) |
| Authorized Official Telephone | 4787512900 |
| Is Organization Subpart | Y |
| Parent Organization Name | MACON OCCUPATIONAL MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902341787 | Macon Occupational Medicine | Clinic/Center | 818 Forsyth St Fl 2, Macon, GA 31201-2139 | 2017-01-03 |
| 1669973186 | Macon Occupational Medicine | Preventive Medicine | 1005 State University Dr, Fort Valley, GA 31030-4313 | 2018-02-21 |
| 1922392356 | Macon Occupational Medicine | Clinic/Center | 124 3rd St, Macon, GA 31201-3404 | 2011-06-02 |
| Street Address |
821 N COBB ST |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31061-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308983 | Alice G. Noel | Social Worker | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2005-07-05 |
| 1619510096 | Rachel Cannon East | Speech-Language Pathologist | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2019-10-18 |
| 1447710207 | Robert Youngblood | Nurse Practitioner | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2019-03-20 |
| 1841701562 | Navicent Health Baldwin, Inc | General Acute Care Hospital | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2017-10-20 |
| 1407309297 | Shannon Adair Lowery | Pharmacist | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2016-07-27 |
| 1477904308 | Kristen Willis | Nurse Practitioner | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2016-06-22 |
| 1407205453 | Brittany Maddox Osborne | Nurse Practitioner | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2016-06-10 |
| 1306206826 | Baldwin Emergency Group, LLC | Physician Assistant | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2016-02-25 |
| 1285093153 | Baldwin Physician Services, LLC | Physician Assistant | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2016-02-19 |
| 1427423862 | Kristin Megan Horton | Nurse Practitioner | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2015-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1629619945 | Gini M Ellis | Counselor | Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 | 2019-10-08 |
| 1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
| 1467923805 | Adam Tocio | Specialist/Technologist | 350 W. Washington St., Milledgeville, GA 31061 | 2018-12-11 |
| 1487170304 | Aubrey Martin | Specialist/Technologist | 251 S Clark St., Milledgeville, GA 31061 | 2017-08-22 |
| 1427573054 | Heritagefirst Home Care Inc. | In Home Supportive Care | 1277 Twin Pine Road, Milledgeville, GA 31061 | 2017-08-04 |
| 1851813893 | Brittany Shantrel Primas | Nurse Practitioner | 102 A Airport Road Ne, Milledgeville, GA 31061 | 2017-07-12 |
| 1609300839 | Samantha Weldon | Behavioral Analyst | 174 Stewart Dr Nw, Milledgeville, GA 31061 | 2017-04-14 |
| 1427425230 | Foster Deariso | Specialist/Technologist | 251 S Clarke St, Milledgeville, GA 31061 | 2015-08-27 |
| 1023406279 | Llewelyn Garillos | Occupational Therapist | 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 | 2014-12-22 |
| Find all providers in zip 31061 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946101 | State Drug Testing & Occupational Health, Inc. | Clinic/Center | 24 W Chatham Ct, Garden City, GA 31408-3051 | 2020-06-15 |
| 1578193371 | Georgia Therapeutic Interventions | Clinic/Center | 936 Adams Lake Blvd Se, Atlanta, GA 30339-3382 | 2020-01-21 |
| 1679048003 | Peachtree Occupational Medicine & Urgent Care | Clinic/Center | 3300 Holcomb Bridge Rd Ste 110, Norcross, GA 30092-5404 | 2018-10-12 |
| 1902341787 | Macon Occupational Medicine | Clinic/Center | 818 Forsyth St Fl 2, Macon, GA 31201-2139 | 2017-01-03 |
| 1841627064 | Occupational Health Centers of Georgia PC | Clinic/Center | 1146 Elma G. Miles Parkway, Suite 103, Hinesville, GA 31313 | 2013-10-02 |
| 1174958987 | Occupational Health Centers of Georgia PC | Clinic/Center | 1146 Elma G. Miles Pkwy., Ste. 103, Hinesville, GA 31313 | 2013-09-11 |
| 1881937878 | Michelle Waters Therapy Inc | Clinic/Center | 155 1st Ave, Cochran, GA 31014-5740 | 2013-03-28 |
| 1962743674 | Independent Physical Therapy, LLC | Clinic/Center | 11172 Highway 142 N, Covington, GA 30014-2547 | 2013-03-05 |
| 1770837445 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 3885 Princeton Lakes Way Sw Ste 408, Atlanta, GA 30331-5599 | 2012-11-02 |
| 1578854832 | Doctors Hospital Center for Occupational Medicine | Clinic/Center | 635 Ronald Reagan Dr Ste 1, Evans, GA 30809 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
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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.