GENESIS WOUND CARE OF POOLER, LLC (NPI# 1467815472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467815472 |
| Entity Type | Organization |
| Organization Name | GENESIS WOUND CARE OF POOLER, LLC |
| Practice Address |
1000 Towne Center Blvd Building 400 Pooler GA 31322-4052 |
| Mailing Address |
575 N Route 73 Suite A6 West Berlin NJ 08091-9289 |
| Practice Telephone | 9126620223 |
| Practice Fax Number | 9126620224 |
| Mailing Telephone | 8563355025 |
| Mailing Fax Number | 8562139269 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | JAMES THOMAS O'DARE III (PRINICIPAL) |
| Authorized Official Telephone | 8563355025 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESIS WOUNDCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1000 TOWNE CENTER BLVD BUILDING 400 |
| City | POOLER |
| State | GA |
| Zip Code | 31322-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154319408 | Wound Care Clinic - Esu, Inc. | Clinic/Center | 1000 Towne Center Blvd, Suite 705, Pooler, GA 31322-4052 | 2005-10-11 |
| 1891241360 | The Whole Tooth | Dentist | 1000 Towne Center Blvd, Suite 505, Pooler, GA 31322-4052 | 2016-08-25 |
| 1538529631 | Southern Allergy & Asthma, PC | Allergy & Immunology | 1000 Towne Center Blvd, Building 500 Suite 305, Pooler, GA 31322-4052 | 2016-03-02 |
| 1912365495 | Jana Alisa Bevill | Nurse Practitioner | 1000 Towne Center Blvd, Suite 160, Pooler, GA 31322-4052 | 2016-01-29 |
| 1376930339 | Genesis Vascular of Pooler, LLC | Internal Medicine | 1000 Towne Center Blvd, Building 400, Pooler, GA 31322-4052 | 2015-04-16 |
| 1598157364 | Matthew J. Allen, D.d.s., L.L.C. | Dentist | 1000 Towne Center Blvd, Suite 101, Pooler, GA 31322-4052 | 2015-03-03 |
| 1316338494 | Ear, Nose & Throat Associates of Savannah, PC | Otolaryngology | 1000 Towne Center Blvd, Ste 200, Pooler, GA 31322-4052 | 2015-02-11 |
| 1598153900 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 1000 Towne Center Blvd, Suite 602, Pooler, GA 31322-4052 | 2015-01-07 |
| 1962836106 | Catherine E Hamlin | Dentist | 1000 Towne Center Blvd, Pooler, GA 31322-4052 | 2013-08-23 |
| 1508119207 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 1000 Towne Center Blvd, Pooler, GA 31322-4052 | 2012-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790468 | Healogics Specialty Physicians of Georgia, LLC | Preventive Medicine | 440 Charter Blvd Ste 3302, Macon, GA 31210-0711 | 2019-09-20 |
| 1255742417 | David T Sauls Md PC | Preventive Medicine | 1025 Falls Rd, Toccoa, GA 30577-2422 | 2014-05-09 |
| 1326472283 | North Fulton Primary Care - Wylie Bridge, LLC | Preventive Medicine | 14205 Highway 92, Suite 105, Woodstock, GA 30188-7138 | 2013-08-28 |
| 1053477828 | James M Freeman Md | Preventive Medicine | 803 N Jefferson St Ste A, Albany, GA 31701-5117 | 2006-12-28 |
| 1194733600 | David G Schwegman | Preventive Medicine | 1505 Northside Blvd Ste 1300, Cumming, GA 30041 | 2006-08-03 |
| 1780105296 | Hyperbaric & Woundcare Inc | Preventive Medicine | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2017-07-06 |
| 1265843536 | Healogics Specialty Physicians of Georgia, LLC | Preventive Medicine | 705 Breedlove Drive, Suite 300, Monroe, GA 30655-2080 | 2014-05-08 |
| 1184066995 | R.hamil, Md, PC | Preventive Medicine | 4017 Atlanta Hwy, Bogart, GA 30622-2212 | 2013-07-22 |
| 1376983262 | Oconee Wound Care Specialists LLC | Preventive Medicine | 4017 Atlanta Hwy Ste A, Athens, GA 30606-0812 | 2013-06-25 |
| 1346515038 | Rockdale Physician Practices | Preventive Medicine | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2012-03-14 |
| 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.