INDIAN MOUNDS INPATIENT SERVICES LLC


Address: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129
Phone: 7706071047

INDIAN MOUNDS INPATIENT SERVICES LLC (NPI# 1407124068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407124068
Entity Type Organization
Organization Name INDIAN MOUNDS INPATIENT SERVICES LLC
Practice Address 960 Joe Frank Harris Pkwy Se
Cartersville
GA 30120-2129
Mailing Address 13737 Noel Rd
Ste 1600
Dallas
TX 75240-1331
Practice Telephone 7706071047
Practice Fax Number 7706062127
Mailing Telephone 4694012386
Mailing Fax Number 2147122444
Enumeration Date 2011-12-09
Last Update Date 2014-06-04
Authorized Official Name GREGORY J BRYNE (PRESIDENT)
Authorized Official Telephone 4694012386
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist Allopathic & Osteopathic Physicians

Office Location

Street Address 960 JOE FRANK HARRIS PKWY SE
City CARTERSVILLE
State GA
Zip Code 30120-2129

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760472104 Cartersville Physician Practice Network, Inc Internal Medicine 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 2005-10-26
1891319901 Chappell Rebecca Madhani Dietitian, Registered 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 2020-06-04
1083271472 Jennifer Gazaway Specialist/Technologist, Other 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 2019-05-21
1922570282 Tara Williams Nurse Anesthetist, Certified Registered 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 2018-12-27
1790250728 Laura Poulsen Student in an Organized Health Care Education/Training Program 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 2018-10-05
1760981484 Jordan F Vaughn Nurse Practitioner 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 2018-02-08
1265944094 Charissa Faith Baker Nurse Practitioner 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 2017-11-02
1487198768 Sheridan Anesthesia Services of North Georgia, P.c Anesthesiology 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 2016-12-06
1376904292 Faizan Shaikh Internal Medicine 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 2016-03-19
1497112783 Apollo Emergency Physicians, LLC Physician Assistant 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 2016-01-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295357325 Rhonda Ireland Pharmacist 125 Main Street Marketplace, Cartersville, GA 30120 2020-05-12
1538719273 The Golden Ages Corporoation Nursing Care 41 Walden Crossing, Cartrsville, GA 30120 2019-09-15
1932752391 Jennifer Elaine Mclaurin Counselor 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 2019-07-24
1164989497 Kayla Elizabeth Hoskins Occupational Therapist 7 E Cherokee Ave, Cartersville, GA 30120 2019-02-22
1942785837 Adriane L Alexander Social Worker 24 Meadowbridge Drive, Cartersville, GA 30120 2018-09-26
1306329362 Ashley Elizabeth Deal Nurse Practitioner 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 2018-09-14
1376037606 Samuel Gilreath Tumlin Dentist 701 N. Tennessee St., Cartersville, GA 30120 2018-06-20
1437669108 Deborah Susan Luper Counselor 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 2017-10-06
1750810693 Debbie Fearon Registered Nurse 523 Mountain Chase, Cartersville, GA 30120 2017-06-05
1023486388 Amanda Stanley Pharmacist 1150 West Ave, Cartersville, GA 30120 2015-09-03
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033770771 Your Hospitalist Team LLC Hospitalist 2215 Autumn Ridge Ln, Cumming, GA 30041-1358 2019-06-24
1780194183 Mobin Shah Inc Hospitalist 352 Langshire Dr, Mcdonough, GA 30253-8055 2017-10-11
1972036721 Getnet Alemu Tioum Hospitalist 1267 Pounds Ln, Clarkston, GA 30021-2830 2017-04-08
1720531692 Zahraa Rabeeah Hospitalist 390 17th St Nw Unit 5031, Atlanta, GA 30363-2015 2016-07-27
1245614973 Donovan Philbrick Hospitalist 743 Spring Street, Office of Inpatient Medicine, Gainesville, GA 30501 2015-07-13
1932529732 Munir Chaudhuri Hospitalist 1364 Clifton Road Ne Box M7, Atlanta, GA 30322-1029 2014-04-18
1982979373 Rianot Amzat Hospitalist 5665 Peachtree Dunwoody # Ga, Suite 500, Atlanta, GA 30342-1701 2012-03-19
1780970921 Christopher Thomas Middendorf Hospitalist 1400 River Place, Braselton, GA 30517 2011-06-27
1043528268 Medcare Physicians of Central Georgia, LLC Hospitalist 1040 Founders Row, Ste A, Greensboro, GA 30642-5261 2010-09-22
1619293354 Aaron D Gluth Hospitalist 1364 Clifton Rd Ne Box M-7, Atlanta, GA 30322-1059 2010-04-19
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Competitor

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City CARTERSVILLE
Zip Code 30120

Improve Information

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Dataset Information

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.

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