CHARLESTON VAMC (NPI# 1427344308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427344308 |
| Entity Type | Organization |
| Organization Name | CHARLESTON VAMC |
| Other Organization Name | HINESVILLE VA CLINIC |
| Practice Address |
500 E Oglethorpe Hwy Hinesville GA 31313-2804 |
| Mailing Address |
Po Box 89425 Cleveland OH 44101-6425 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HINESVILLE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083099444 | Charleston Vamc | Clinic/Center | 2424 City Hall Lane, North Charleston, SC 29406-9998 | 2015-07-28 |
| 1851339451 | Charleston Vamc | Clinic/Center | 1170 Shawnee Street, Savannah, GA 31419-1618 | 2006-06-03 |
| 1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
| 1255729398 | Charleston Vamc | Clinic/Center | 9229 University Blvd, North Charleston, SC 29406-9150 | 2014-12-23 |
| 1437566528 | Charleston Vamc | Clinic/Center | 9237 University Blvd, North Charleston, SC 29406-9189 | 2014-07-21 |
| 1235286741 | Charleston Vamc | Clinic/Center | 2418 Nnptc Circle, Goose Creek, SC 29445-9998 | 2007-01-05 |
| 1649286972 | Charleston Vamc | General Acute Care Hospital | 109 Bee Street, Charleston, SC 29401 | 2006-07-31 |
| 1821036286 | Charleston Vamc | Clinic/Center | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1533 | 2006-06-04 |
| 1194776807 | Charleston Vamc | Clinic/Center | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2006-05-15 |
| 1659320620 | Charleston Vamc | General Acute Care Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2006-05-08 |
| Street Address |
500 E OGLETHORPE HWY |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023008141 | David Lee Dobson Jr. | Psychiatry & Neurology | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2005-10-28 |
| 1659979300 | Lajuana Kim Bennett-ruffin | Peer Specialist | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2020-10-14 |
| 1699257758 | Ukia Cassandra Sims | Social Worker | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2018-09-05 |
| 1114425410 | Gabrielle Perry | Social Worker | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2018-02-01 |
| 1891214094 | Alyn R Maynez | Dietitian, Registered | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2017-09-19 |
| 1851826176 | Merritt M. Quarles | Nurse Practitioner | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2017-04-24 |
| 1275080392 | Elizabeth Belanger | Psychologist | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2016-09-07 |
| 1770946972 | Pamela Watson | Nurse Practitioner | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2016-04-04 |
| 1881055234 | Stacy Faison | Social Worker | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2016-03-14 |
| 1962877951 | Samantha Hopkins | Dietitian, Registered | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2015-12-02 |
| Find all providers in the same location | ||||
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333649 | Atlanta Vamc | Clinic/Center | 2309 Parklake Dr Ne, Atlanta, GA 30345-2914 | 2019-09-03 |
| 1962050286 | Atlanta Vamc | Clinic/Center | 934 E Church St, Jasper, GA 30143-1926 | 2019-08-29 |
| 1811545130 | Atlanta Vamc | Clinic/Center | 1800 Phoenix Blvd Ste 100, College Park, GA 30349-6055 | 2019-08-29 |
| 1811551633 | Atlanta Vamc | Clinic/Center | 2217 Roswell Rd Ste 114, Marietta, GA 30062-2957 | 2019-04-26 |
| 1982074720 | Montgomery Vamc | Clinic/Center | 6635 Bass Road, Bldg. 9214, Fort Benning, GA 31905-9998 | 2015-10-06 |
| 1871981084 | Atlanta Vamc | Clinic/Center | 755 Commerce Drive, Suite 700, Decatur, GA 30030-2621 | 2014-12-23 |
| 1174911200 | Atlanta Vamc | Clinic/Center | 1513 Cleveland Avenue, Suite 300, East Point, GA 30344-6951 | 2014-12-23 |
| 1669860888 | Atlanta Vamc | Clinic/Center | 2296 Henderson Mill Rd Ne Ste 402, Atlanta, GA 30345-2739 | 2014-12-23 |
| 1770836884 | Dublin Vamc | Clinic/Center | 1824 Ridge Avenue North, Tifton, GA 31794-9998 | 2012-10-26 |
| 1669729570 | Atlanta Vamc | Clinic/Center | 180 Martin Dr., Carrollton, GA 30117-2425 | 2012-08-09 |
| Find all providers with the same taxonomy | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
Please comment or provide details below to improve the information on CHARLESTON VAMC.
| 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.