PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. (NPI# 1316992027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316992027 |
| Entity Type | Organization |
| Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. |
| Other Organization Name | PHOEBE PUTNEY MEMORIAL HOSPTIAL |
| Practice Address |
417 W 3rd Ave Albany GA 31701-1943 |
| Mailing Address |
Po Box 3770 Albany GA 31706-3770 |
| Practice Telephone | 2293124268 |
| Practice Fax Number | 2293124316 |
| Mailing Telephone | 2293124268 |
| Mailing Fax Number | 2293124316 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | NICOLE BRUEDER (AVP, BUSINESS AFFAIRS) |
| Authorized Official Telephone | 2293124268 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Phoebe Putney Memorial Hosptial | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821293788 | Phoebe Putney Memorial Hospital, Inc. | Clinic/Center | 48 Us Highway 19 S, Camilla, GA 31730-1960 | 2007-06-19 |
| 1871697508 | Phoebe Putney Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 427 W Third Avenue, Albany, GA 31701 | 2006-09-12 |
| 1821239765 | Phoebe Putney Memorial Hospital, Inc. | Clinic/Center | 410 Curry St Ne, Pelham, GA 31779-1457 | 2009-03-23 |
| 1336215615 | Phoebe Putney Memorial Hospital, Inc. | Ambulance | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-11-28 |
| 1013095868 | Phoebe Putney Memorial Hospital, Inc. | Ambulance | 417 W 3rd Ave, Albany, GA 31701 | 2006-11-01 |
| 1952412009 | Phoebe Putney Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2336 Dawson Rd, Suite 1100, Albany, GA 31707-2442 | 2006-08-31 |
| 1669438404 | Phoebe Putney Memorial Hospital, Inc. | Psychiatric Unit | 417 W 3rd Ave, Albany, GA 31701 | 2006-04-21 |
| 1851356349 | Phoebe Putney Memorial Hospital, Inc. | Hospice, Inpatient | 320 Foundation Ln, Albany, GA 31707-5862 | 2006-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. | 417 W 3rd Ave, Albany, GA 31706-1943 |
| Street Address |
417 W 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232503 | Teresa Joy Bohlmeyer | Pathology | 417 W 3rd Ave, Albany, GA 31701-1943 | 2005-06-01 |
| 1861005084 | Brittany Campbell | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-27 |
| 1528679735 | Ta-tanisha Parks | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-11 |
| 1013543859 | Amber Nicole Brodbeck | Registered Nurse | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-03-12 |
| 1225676273 | Jasmine Andrews | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-12-19 |
| 1194375543 | Madison Elizabeth Miller | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-09-18 |
| 1548816457 | Taylor Leigh Holmes | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-08-15 |
| 1689228850 | Christopher Moody | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-26 |
| 1922651223 | Evans Ngwa Mabo | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-17 |
| 1144789082 | Joyce Anderson | Home Health | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
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| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992009385 | Hospital Authority of Albany-dougherty County Georgia | Rehabilitation Unit | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2010-12-29 |
| 1871528620 | Albany Medical Center Hospital | Rehabilitation Unit | 43 New Scotland Ave, Mail Code 29, Albany, NY 12208-3412 | 2006-07-11 |
| 1497795785 | St Peters Hospital | Rehabilitation Unit | 315 S Manning Blvd, Albany, NY 12208-1789 | 2006-06-07 |
| 1790739753 | Palmyra Park Hospital, Inc. | Rehabilitation Unit | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538631437 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 1400 Tullie Rd Ne Ste 601, Atlanta, GA 30329-2309 | 2018-12-18 |
| 1316456825 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 605 Big Shanty Road, Nw, Ste 100, Kennesaw, GA 30144-3646 | 2017-09-27 |
| 1386177798 | Southeast Georgia Health Services, L.L.C. | Rehabilitation Unit | 2500 Satilla Pkwy, Waycross, GA 31503-8852 | 2017-04-04 |
| 1578996245 | Complete Healthcare Management LLC | Rehabilitation Unit | 1060 Deer Chase, Stone Mountain, GA 30088-2404 | 2013-08-16 |
| 1306197702 | Children's Healthcare of Atlanta | Rehabilitation Unit | 2270 Duluth Hwy, Duluth, GA 30097-4010 | 2012-09-25 |
| 1497035489 | Body Mechanics Rehabilitation Services, LLC | Rehabilitation Unit | 524 New River Way, Mcdonough, GA 30252-4153 | 2011-08-22 |
| 1598990376 | Phoebe Sumter Medical Center, Inc. | Rehabilitation Unit | 126 Hwy 280 W, Americus, GA 31719-8645 | 2009-05-21 |
| 1124295274 | Va Medical Center-downtown Division/augusta | Rehabilitation Unit | 3336 Thames Pl, Hephzibah, GA 30815-7176 | 2008-05-08 |
| 1942412754 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1134168016 | Northside Hospital, Inc. | Rehabilitation Unit | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-06-06 |
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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.