HEALTHSTAT ON-SITE CLINIC/MILLIKEN LIVE OAK (NPI# 1295160232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295160232 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC/MILLIKEN LIVE OAK |
| Practice Address |
300 Lukken Industrial Dr W Lagrange GA 30240-5916 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 8645452279 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
300 LUKKEN INDUSTRIAL DR W |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568897502 | Healthstat On-site Clinic/milliken Valway | Preventive Medicine | 1300 4th Ave, Lagrange, GA 30240-4802 | 2013-09-10 |
| 1124453162 | Healthstat On-site Clinic/milliken Kex | Preventive Medicine | 714 Stewart Rd, Lagrange, GA 30241-8040 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482918 | Healthstat Health Center Hsm-atlanta | Preventive Medicine | 362 Industrial Park Dr, Lawrenceville, GA 30046-4646 | 2020-09-22 |
| 1750992376 | Healthstat Inc Southeaster Paper Atlanta | Preventive Medicine | 2400 Sullivan Rd Bldg A, College Park, GA 30337-6318 | 2020-08-17 |
| 1811508419 | Healthstat Inc Piolax | Preventive Medicine | 139 Etowah Industrial Ct, Canton, GA 30114-8017 | 2020-08-17 |
| 1528694452 | Healthstat Onsite Clinic Southern Nuclear | Preventive Medicine | 7825 River Rd, Waynesboro, GA 30830-2965 | 2020-03-23 |
| 1043843535 | Healthstat Onsite Clinic Intelsat Global | Preventive Medicine | 2875 Fork Creek Church Rd, Ellenwood, GA 30294-1224 | 2020-02-13 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1679059588 | Healthstat Onsite Hsm Fort Valley | Preventive Medicine | 256 Industrial Blvd, Fort Valley, GA 31030-6285 | 2018-07-13 |
| 1477052173 | Healthstat Onsite Clinic-coats Albany Distribution | Preventive Medicine | 601 Holly Dr, Albany, GA 31705-4314 | 2018-02-08 |
| 1124527007 | Healthstat Onsite Clinic-coats Douglas | Preventive Medicine | 1401 Pope Dr, Douglas, GA 31535-5923 | 2018-02-07 |
| 1114426095 | Healthstat Onsite Clinic Coats Toccoa | Preventive Medicine | 374 Coats Dr, Toccoa, GA 30577-7986 | 2018-02-07 |
| 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.