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).
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 |
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 Name | Type Code |
---|---|
Optim Primary Care - Sardis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023357324 | Jenkins County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
Street Address |
639 VESTAL RD |
City | SARDIS |
State | GA |
Zip Code | 30456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053625962 | Ronny J Sayers Md PC | Clinic/Center | 639 Vestal Rd, Sardis, GA 30456-2155 | 2010-08-03 |
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 |
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 Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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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 |
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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.