PROFESSIONAL RESOURCE MGMT OF RABUN, LLC (NPI# 1427057363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427057363 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL RESOURCE MGMT OF RABUN, LLC |
| Other Organization Name | MOUNTAIN LAKES MEDICAL CENTER |
| Practice Address |
196 Ridgecrest Cir Surgical Service Clayton GA 30525-4111 |
| Practice Telephone | 7067824233 |
| Practice Fax Number | 7067820451 |
| Mailing Telephone | 7067824233 |
| Mailing Fax Number | 7067820451 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | MS. KIM INGRAM (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7067824233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 62897 | GA | Hospitals |
| Other Name | Type Code |
|---|---|
| Mountain Lakes Medical Center | Other Name - Individual/Organization |
| Street Address |
196 RIDGECREST CIR SURGICAL SERVICE |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619381845 | Timothy J Gooding | Chiropractor | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2014-06-16 |
| 1962764308 | Inmed Clinical Services LLC | Internal Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-12 |
| 1306107149 | Ermds LLC | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-07 |
| 1588925432 | Inmed Clinical Services LLC | Plastic Surgery | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-06 |
| 1841569993 | Kimberly V Terrell | Dietitian, Registered | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2011-12-19 |
| 1316236961 | Amara Center | Health Educator | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2011-04-05 |
| 1134435282 | Kramer Anesthesia Consulting Service | Anesthesiology | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2010-08-27 |
| 1497913180 | Foothills Emergency Services, LLC | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2008-05-29 |
| 1144491663 | Hon Medical Group, PC | Surgery | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2008-03-13 |
| 1265560726 | Professional Resources Management of Rabun,llc | Medicare Defined Swing Bed Unit | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679632558 | Christiana Care | General Acute Care Hospital | 1001 Sewell Branch Road, Clayton, DE 19938 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
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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.