CCH PHYSICIAN GROUP, LLC (NPI# 1295128064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295128064 |
| Entity Type | Organization |
| Organization Name | CCH PHYSICIAN GROUP, LLC |
| Practice Address |
400 Cedar St Metter GA 30439-3338 |
| Mailing Address |
Po Box 597 Metter GA 30439-0597 |
| Practice Telephone | 9126855741 |
| Mailing Telephone | 9126855741 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | CINDY BIERSCHENK (CFO) |
| Authorized Official Telephone | 9126851769 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
400 CEDAR ST |
| City | METTER |
| State | GA |
| Zip Code | 30439-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902369770 | Hospital Authority of Candler County | Emergency Medicine | 400 Cedar St, Metter, GA 30439-3338 | 2019-04-09 |
| 1447798087 | Nicole Adkison | Physical Therapy Assistant | 400 Cedar St, Metter, GA 30439-3338 | 2017-02-02 |
| 1710423587 | Ashley Adams | Physical Therapy Assistant | 400 Cedar St, Metter, GA 30439-3338 | 2017-01-17 |
| 1821531005 | Jessica Hendrix | Specialist | 400 Cedar St, Metter, GA 30439-3338 | 2016-11-21 |
| 1821426370 | Rmr IIi Consulting Inc | Nurse Anesthetist, Certified Registered | 400 Cedar St, Metter, GA 30439-3338 | 2013-10-21 |
| 1437430253 | Candler Emergency Group, LLC | Physician Assistant | 400 Cedar St, Metter, GA 30439-3338 | 2011-09-07 |
| 1942434535 | Daniel Frederick Jung | Emergency Medicine | 400 Cedar St, Metter, GA 30439-3338 | 2009-05-11 |
| 1255594065 | Erin Rebecca Tanner | Internal Medicine | 400 Cedar St, Metter, GA 30439-3338 | 2008-07-02 |
| 1588868947 | Hospital Authority of Candler County | Medicare Defined Swing Bed Unit | 400 Cedar St, Metter, GA 30439-3338 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285132415 | Tattnall Hospital Company, LLC | Family Medicine | 380a Cedar St, Metter, GA 30439 | 2018-01-23 |
| 1356718050 | Fred's Stores of Tennessee Inc | Pharmacy | 978 Ga Highway 46 E., Metter, GA 30439 | 2015-08-28 |
| 1235548447 | Southern Home Care Services, Inc. | In Home Supportive Care | 11 South Roundtree St, Metter, GA 30439 | 2014-08-13 |
| 1013261312 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 8. North Williams Street, Metter, GA 30439 | 2012-11-08 |
| 1598913394 | Julie Marshall Karpinsky | Nurse's Aide | 4830 White Way Circle, Metter, GA 30439 | 2008-09-04 |
| 1578623955 | Mary H. Jackson | Counselor | Route 1, Metter, GA 30439 | 2006-12-08 |
| 1467538454 | Cheryl Rogers Allen | Pharmacist | 19 North Broad Sreet, Metter, GA 30439 | 2006-10-31 |
| 1407963853 | William W Clance Dmd PC | Dentist | 500 N Lewis St, Metter, GA 30439 | 2006-08-23 |
| 1568482644 | R Gary Branch | Family Medicine | 10 Doctors Street, Metter, GA 30439 | 2006-07-20 |
| 1093973406 | John Robert Bowen Jr. | Pharmacist | 745 S Lewis St, Metter, GA 30439 | 2008-06-02 |
| Find all providers in zip 30439 | ||||
| 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 |
|---|---|---|---|---|
| 1285132415 | Tattnall Hospital Company, LLC | Family Medicine | 380a Cedar St, Metter, GA 30439 | 2018-01-23 |
| 1598056988 | Hospital Authority of Candler County | Family Medicine | 415 Cedar St, Metter, GA 30439-3339 | 2011-04-20 |
| 1568482644 | R Gary Branch | Family Medicine | 10 Doctors Street, Metter, GA 30439 | 2006-07-20 |
| 1306845433 | Floyd A Soriano | Family Medicine | 154 S Leroy St, Metter, GA 30439-4631 | 2005-07-20 |
| 1225645732 | Loy D. Cowart IIi Md PC | Family Medicine | 154 S Leroy St, Metter, GA 30439-4631 | 2020-09-29 |
| 1790088169 | Hospital Authority of Candler County | Family Medicine | 380 Cedar St, Metter, GA 30439-4042 | 2010-12-07 |
| 1023039732 | Candler Medical Group, Inc. - Metter | Family Medicine | 10 Doctors Street, Metter, GA 30439 | 2006-07-21 |
| 1952321937 | John Dorsey Smith | Family Medicine | 10 Doctors Street, Metter, GA 30439 | 2006-07-20 |
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| 1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
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| 1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
| Find all providers with the same taxonomy | ||||
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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.