FAMILY TOTAL HEALTHCARE LLC (NPI# 1457646770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457646770 |
| Entity Type | Organization |
| Organization Name | FAMILY TOTAL HEALTHCARE LLC |
| Practice Address |
509 Jackson St Vidalia GA 30474-4720 |
| Mailing Address |
Po Box 627 Vidalia GA 30475-0627 |
| Practice Telephone | 9125372564 |
| Practice Fax Number | 9125389391 |
| Mailing Telephone | 9125372564 |
| Mailing Fax Number | 9125389391 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Authorized Official Name | MR. GARLAND MARTIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9123675525 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ALTAMAHA MEDICAL CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CHIR001572 | GA | Chiropractic Providers |
| N | 207R00000X | Internal Medicine | 47233 | GA | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | 122840 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
509 JACKSON ST |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548382120 | John K Mckay Jr. | Chiropractor | 509 Jackson St, Vidalia, GA 30474-4720 | 2007-04-04 |
| 1669642203 | Back & Neck Pain Center PC | Chiropractor | 509 Jackson St, Vidalia, GA 30474-4720 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376897868 | Natchez Hma Physician Management, LLC | Nurse Practitioner | 900 Carter St, Suite A, Vidalia, LA 71373-3208 | 2012-11-05 |
| 1760583017 | Angela S Letard | Nurse Practitioner | 107 Front Street, Vidalia, LA 71373 | 2006-09-26 |
| 1275198590 | Anglia Dailey | Nurse Practitioner | 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474-8854 | 2019-05-02 |
| 1164873121 | Pate Chester | Nurse Practitioner | 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474-8852 | 2016-06-30 |
| 1912252792 | Cynthia Kaye Holton | Nurse Practitioner | 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474-8852 | 2012-07-18 |
| 1932333291 | Amber Nobles Joyner | Nurse Practitioner | 1707 Meadows Ln, Suite C, Vidalia, GA 30474-7200 | 2009-05-14 |
| 1477516680 | Barbara T Peacock | Nurse Practitioner | 101 Harris Industrial Blvd, Ste C, Vidalia, GA 30474-8852 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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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.