SATILLA CANCER TREATMENT CENTERS, LLC (NPI# 1447467717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447467717 |
| Entity Type | Organization |
| Organization Name | SATILLA CANCER TREATMENT CENTERS, LLC |
| Other Organization Name | CUREPOINT |
| Practice Address |
1451 Church St Waycross GA 31501-3531 |
| Practice Telephone | 9122833087 |
| Practice Fax Number | 9122837337 |
| Mailing Telephone | 9122833087 |
| Mailing Fax Number | 9122837337 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | MRS. JACQUELINE LILLICOTCH (CREDENTIALING OFFICER) |
| Authorized Official Telephone | 4782722255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MCR | DQ2362 | 01 |
| GA | MEDICARE PTAN | 202G708768 | 01 |
| GA | 300027669B | 05 | |
| GA | CLIA | 11D1096390 | 01 |
| Other Name | Type Code |
|---|---|
| CurePoint | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336477934 | Satilla Cancer Treatment Centers, LLC | Internal Medicine | 2406 Bellevue Avenue, #7, Dublin, GA 31021-0000 | 2009-11-20 |
| 1700026606 | Satilla Cancer Treatment Centers, LLC | Internal Medicine | 1451 Church St, Waycross, GA 31501-3531 | 2009-03-05 |
| 1104033463 | Satilla Cancer Treatment Centers, LLC | Specialist | 2406 Bellevue Rd, #7, Dublin, GA 31021-2842 | 2007-05-17 |
| Street Address |
1451 CHURCH ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700026606 | Satilla Cancer Treatment Centers, LLC | Internal Medicine | 1451 Church St, Waycross, GA 31501-3531 | 2009-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992730881 | Chandrakanth Amaram | Specialist | 302 Uvalda St, Waycross, GA 31501-4551 | 2006-07-11 |
| 1679520753 | Waycross Orthopaedics, P.C. | Specialist | 2002 Alice St, Waycross, GA 31501-6210 | 2006-05-27 |
| 1174578553 | Neurological Associates of The South, LLC | Specialist | 810 Beacon St, Waycross, GA 31501 | 2006-05-23 |
| 1346236155 | Randall Frederick O'brien | Specialist | 2003 Alice St, Suite A, Waycross, GA 31501-6209 | 2005-09-27 |
| 1245580414 | Angela D Adams | Specialist | 1706 Alice St, Waycross, GA 31501-5216 | 2012-09-14 |
| 1871823302 | Satilla Rheumatology and Internal Medicine, PC | Specialist | 615-a Pendleton Street, Waycross, GA 31501-4724 | 2010-01-06 |
| 1720205503 | Diabetes and Endocrine Treatment Center Inc. | Specialist | 2005 Pioneer St Ste C, Waycross, GA 31501-6205 | 2007-04-20 |
| 1629148069 | Krupavathi Maramreddy | Specialist | 218 Quarterman St, Waycross, GA 31501-3547 | 2006-11-09 |
| 1457463812 | Dan A Lott | Specialist | 218 Quarterman St, Waycross, GA 31501-3547 | 2006-08-31 |
| 1548295405 | Nirmala D Amaram | Specialist | 302 Uvalda St, Waycross, GA 31501-4551 | 2006-07-11 |
| Find all providers in WAYCROSS | ||||
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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.