GOOD SAMARITAN HEALTH & WELLNESS CENTER (NPI# 1407174675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407174675 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HEALTH & WELLNESS CENTER |
| Practice Address |
175 Samaritan Dr Jasper GA 30143-1964 |
| Practice Telephone | 7062534673 |
| Practice Fax Number | 7062534675 |
| Mailing Telephone | 7062534673 |
| Mailing Fax Number | 7062534675 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | TAMMI W SORRELLS (CEO) |
| Authorized Official Telephone | 7708150986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOOD SAMARITAN HEALTH & WELLNESS CENTER, INC. | 175 Samaritan Dr, Jasper, GA 30143-1964 |
| Street Address |
175 SAMARITAN DR |
| City | JASPER |
| State | GA |
| Zip Code | 30143-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609843457 | Marvin Langford | Physician Assistant | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2006-03-01 |
| 1407475734 | Julie Deloach Everett | Social Worker | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2020-04-16 |
| 1134770118 | Renea Justice | Nurse Practitioner | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2019-09-22 |
| 1932680451 | Patti Lynn Shelby | Registered Nurse | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2018-08-23 |
| 1366940876 | Haley Cook | Family Medicine | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2018-01-30 |
| 1407272420 | Bertil Loftman | Neurological Surgery | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2014-03-14 |
| 1306139167 | Shelly A Fields-ryan | Clinic/Center | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2011-05-25 |
| 1245206499 | Howard Sohnen | Obstetrics & Gynecology | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1801397724 | Jema Day | Nurse Practitioner | 620 J L White Dr Ste 140, Jasper, GA 30143 | 2018-02-26 |
| 1023467545 | North Georgia Personal Care LLC | Home Health | 501 North Main St., Suite B, Jasper, GA 30143 | 2016-06-06 |
| 1871979641 | Sj & J Spine and Pain Group Holding LLC | Pain Medicine | 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 | 2015-08-04 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1770905861 | Leslie Rhea Hanagan | Speech-Language Pathologist | 22 Dogwood Lane, Jaser, GA 30143 | 2014-01-09 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1407139264 | Rocky Mountain Holdings LLC | Ambulance | 70 Airport Business Court, Jasper, GA 30143 | 2011-09-27 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| Find all providers in zip 30143 | ||||
| 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 |
|---|---|---|---|---|
| 1528670452 | The Capstone Rural Health Center | Clinic/Center | 1400 19th St W, Jasper, AL 35501-5171 | 2020-08-21 |
| 1205460268 | The Capstone Rural Health Center | Clinic/Center | 714 12th St W, Jasper, AL 35501-4519 | 2020-02-28 |
| 1639176324 | Gulf Coast Health Center Inc | Clinic/Center | 103 East Gibson, Suite 110 &112, Jasper, TX 75951 | 2005-07-07 |
| 1609243674 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 609 West Clark Street, Jasper, AR 72641-0130 | 2015-08-26 |
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| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 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 | ||||
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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.