DIVERSITY HEALTH CENTER INC. (NPI# 1326594714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326594714 |
| Entity Type | Organization |
| Organization Name | DIVERSITY HEALTH CENTER INC. |
| Practice Address |
502 E General Stewart Way Ste A Hinesville GA 31313-2643 |
| Mailing Address |
Po Box 1520 Hinesville GA 31310-8520 |
| Practice Telephone | 9123183947 |
| Practice Fax Number | 9128770189 |
| Mailing Telephone | 9123183947 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | MRS. STEPHANIE JONES-THEAKER (CEO) |
| Authorized Official Telephone | 9123183947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
20843 | GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770056962 | Diversity Health Center Inc. | Clinic/Center | 301 Fraser Dr, Hinesville, GA 31313-3712 | 2019-01-10 |
| 1053884296 | Diversity Health Center Inc. | Clinic/Center | 213 N Mcdonald St Ste C, Ludowici, GA 31316-6075 | 2019-01-10 |
| 1770107286 | Diversity Health Center Inc. | Pharmacy | 244 Peachtree St, Jesup, GA 31545-0212 | 2020-06-01 |
| 1518508613 | Diversity Health Center Inc. | Clinic/Center | 244 Peachtree St, Jesup, GA 31545-0212 | 2019-10-01 |
| Street Address |
502 E GENERAL STEWART WAY STE A |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548583719 | Monica D Jackson | Physician Assistant | 502 E General Stewart Way Ste A, Hinesville, GA 31313-2643 | 2010-03-02 |
| 1528554375 | Michelle Y Wright | Nurse Practitioner | 502 E General Stewart Way Ste A, Hinesville, GA 31313 | 2018-07-05 |
| 1720385412 | Sarah E Ellis | Nurse Practitioner | 502 E General Stewart Way Ste A, Hinesville, GA 31313 | 2011-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770056962 | Diversity Health Center Inc. | Clinic/Center | 301 Fraser Dr, Hinesville, GA 31313-3712 | 2019-01-10 |
| 1720108590 | Diversity Health Center Inc | Clinic/Center | 303 Fraser Dr, Hinesville, GA 31313 | 2007-03-29 |
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|---|---|---|---|---|
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| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
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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.