DOUGLAS INTERNAL MEDICINE P.C. (NPI# 1457734097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457734097 |
Entity Type | Organization |
Organization Name | DOUGLAS INTERNAL MEDICINE P.C. |
Other Organization Name | FIRST CARE |
Practice Address |
1100 Ocilla Rd Douglas GA 31533-2206 |
Mailing Address |
306 Westside Dr Douglas GA 31533-3530 |
Practice Telephone | 9123837826 |
Practice Fax Number | 9123837299 |
Mailing Telephone | 9123837826 |
Mailing Fax Number | 9123837299 |
Enumeration Date | 2015-07-01 |
Last Update Date | 2015-07-01 |
Authorized Official Name | DR. JAMES STAN SINCLAIR (OWNER) |
Authorized Official Telephone | 9123837826 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | RN098350 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 207R00000X | Internal Medicine | 036457 | GA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
First Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639558539 | Douglas Internal Medicine P.C. | Internal Medicine | 203 S Wayne St, Alma, GA 31510-2919 | 2015-05-26 |
1275542953 | Douglas Internal Medicine P.C. | Internal Medicine | 306 Westside Dr, Douglas, GA 31533-3530 | 2006-08-05 |
Street Address |
1100 OCILLA RD |
City | DOUGLAS |
State | GA |
Zip Code | 31533-2206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285954214 | Douglas Cancer Center | Preferred Provider Organization | 1100 Ocilla Rd, Douglas, GA 31533-2206 | 2010-06-01 |
1487138590 | Alyssa Taft | Nurse Practitioner | 1100 Ocilla Rd, Douglas, GA 31533-2206 | 2018-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
Find all providers in zip 31533 |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457722720 | Crh Physician Practices LLC | Internal Medicine | 901 Connector 206 N, Douglas, GA 31533-7150 | 2015-10-13 |
1821345356 | Southeastern Neuromuscular Massage Therapy, Inc. | Internal Medicine | 112 Madison Ave N, Douglas, GA 31533-4604 | 2012-08-15 |
1619131299 | Jeong Hun Paik | Internal Medicine | 200 Doctors Dr Ste K, Douglas, GA 31533-2202 | 2008-07-14 |
1174699649 | Hector F Garcia | Internal Medicine | 1116 N G Ave, Ste. 7, Douglas, AZ 85607-1944 | 2006-11-28 |
1013995935 | Krishnan Arunachalam | Internal Medicine | 2012 Ocilla Hwy, Douglas, GA 31533-2232 | 2006-01-03 |
1043203425 | Dennis Conrad Harper | Internal Medicine | 1400 N. Peterson Avenue, Suite C, Douglas, GA 31533 | 2005-08-31 |
1750374294 | Hemachandran P Nair | Internal Medicine | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2005-08-30 |
1326031865 | Marshall Glynn Tanner | Internal Medicine | 2016 Ocilla Rd, Douglas, GA 31533-2230 | 2005-08-30 |
1437142320 | James Stanley Sinclair | Internal Medicine | 306 Westside Dr, Douglas, GA 31533-3530 | 2005-08-25 |
1447250220 | Robert Darrell Collins | Internal Medicine | 1208 Ocilla Rd Unit 1, Douglas, GA 31533-2220 | 2005-07-22 |
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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.