JENKINS COUNTY HOSPITAL, LLC


Address: 639 Vestal Rd, Sardis, GA 30456
Phone: 4785694406

JENKINS COUNTY HOSPITAL, LLC (NPI# 1427392307) 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) 1427392307
Entity Type Organization
Organization Name JENKINS COUNTY HOSPITAL, LLC
Other Organization Name OPTIM PRIMARY CARE - SARDIS
Practice Address 639 Vestal Rd
Sardis
GA 30456
Mailing Address 210 E. Derenne Ave
Attn: Hope Sams
Savannah
GA 31405
Practice Telephone 4785694406
Practice Fax Number 9126445260
Mailing Telephone 9126445300
Mailing Fax Number 9126445260
Enumeration Date 2012-11-16
Last Update Date 2013-01-30
Authorized Official Name MICHAEL W. KLEINPETER (CEO)
Authorized Official Telephone 9126445300
Authorized Official Credential CEO
Is Organization Subpart Y
Parent Organization Name JENKINS COUNTY HOSPITAL, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Optim Primary Care - Sardis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023357324 Jenkins County Hospital, LLC Surgery 102 Rocky Ford Rd, Sylvania, GA 30467 2013-02-06

Office Location

Street Address 639 VESTAL RD
City SARDIS
State GA
Zip Code 30456

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053625962 Ronny J Sayers Md PC Clinic/Center 639 Vestal Rd, Sardis, GA 30456-2155 2010-08-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659315448 Robin R Shellito Physician Assistant 810 Cemetery Road, Medical Associates of Sardis, Sardis, GA 30456 2006-06-15
1619528031 Tri-county Rural Health Services Clinic/Center 639a Vestal Rd, Sardis, GA 30456-2155 2019-09-26
1770027161 Tonya Brown Counselor 1801 Doyle Rd, Sardis, GA 30456-2846 2016-12-05

Providers in the same city

NPI Name Taxonomy Address Enumeration
1548808181 Verda Mae Taylor Speech-Language Pathologist 607 Pleasant Grove Rd, Sardis, MS 38666-2639 2019-12-13
1982178232 Sharon Moore Massey Pharmacist 254 Walnut Rd, Sardis, MS 38666-3420 2019-01-18
1144793753 Bradi Beard Physical Therapist 14975 Ballentine Rd, Sardis, MS 38666-5428 2019-01-07
1992271803 People's Pharmacy, LLC Pharmacy 411 E Lee St Ste C, Sardis, MS 38666-1227 2018-10-17
1043703820 First Pharmacy Services of Sardis Pharmacy 400 East Lee Street, Sardis, MS 38666 2018-06-07
1407348832 First Pharmacy Services Pharmacy 400 E Lee St, Sardis, MS 38666-1236 2018-06-01
1598219511 Love and Patience Preferred Provider Organization 14199 Ballentine Rd, Sardis, MS 38666-5416 2016-08-08
1770982001 Wal-mart Stores East, Lp Durable Medical Equipment & Medical Supplies 420 E Lee St, Sardis, MS 38666-1236 2014-08-22
1841609161 Vicki Watson Registered Nurse 2594 Coldsprings Rd, Sardis, MS 38666-5644 2014-08-12
1689086340 Mariah Warrington Speech-Language Pathologist 37267 5th Ave, Sardis, OH 43946-9770 2014-05-28
Find all providers in SARDIS

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902407752 Neighbormd of Atlanta LLC Internal Medicine 285 Boulevard Ne Ste 435&436, Atlanta, GA 30312-4205 2020-11-06
1053912907 Neighbormd of North Atlanta LLC Internal Medicine 1800 Peachtree St Nw Ste 730nw, Atlanta, GA 30309-2519 2020-11-06
1285235036 Neighbormd of South Atlanta LLC Internal Medicine 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 2020-11-06
1770182586 Nuberty Inc Internal Medicine 227 Sandy Springs Pl Ste 220, Sandy Springs, GA 30328-5935 2020-10-22
1427664333 Nations Medical Clinic Inc Internal Medicine 3099 Bredkinridge Blvd, Suite 110/111, Duluth, GA 30096-1011 2020-09-17
1659986057 Herman Medical Solutions, LLC Internal Medicine 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 2020-09-11
1790399475 Janice Carol Gould Internal Medicine 140 Vann St Ne Ste 350, Marietta, GA 30060-8975 2020-09-01
1952914368 Hardy Renew Wellness,llc Internal Medicine 838 Cannon Run Sw, Marietta, GA 30064-4600 2020-08-25
1013529577 Willy Armand Yougang Tchoutang Internal Medicine 120 Stoney Creek Dr, Kathleen, GA 31047-3120 2020-08-17
1841800679 Om Primary Care LLC Internal Medicine 4300 Westbrook Rd Bldg A, Suwanee, GA 30024-4987 2020-08-06
Find all providers with the same taxonomy

Competitor

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City SARDIS
Zip Code 30456

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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