NELSON CLEMENTS DMD INC (NPI# 1477975597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477975597 |
| Entity Type | Organization |
| Organization Name | NELSON CLEMENTS DMD INC |
| Practice Address |
2310 N Patterson St Bldg E Valdosta GA 31602-2500 |
| Practice Telephone | 2292425511 |
| Mailing Telephone | 2292425511 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | MISS KAREN SANDERS (OFFICE MANAGER) |
| Authorized Official Telephone | 2292425511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 9150 | GA | Managed Care Organizations |
| Street Address |
2310 N PATTERSON ST BLDG E |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194384982 | Ranya Tomlinson | Dentist | 2310 N Patterson St Bldg E, Valdosta, GA 31602-2500 | 2019-06-06 |
| 1578638359 | Fred Nelson Clements Jr. | Dentist | 2310 N Patterson St Bldg E, Valdosta, GA 31602-2500 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124364534 | Wellness Center of Valdosta | Point of Service | 206 E Adair St, Valdosta, GA 31601-4508 | 2012-12-13 |
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|---|---|---|---|---|
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| 1558990911 | Telemedicine Essentials of America, LLC | Point of Service | 2001 Montreal Rd Ste 105, Tucker, GA 30084-5219 | 2020-04-06 |
| 1033745088 | Assure Elder Care Incorporated | Point of Service | 1047 Alford Rd, Lithonia, GA 30058-3007 | 2020-03-20 |
| 1437712122 | Wish You Well Youth Faith Foundation Inc | Point of Service | 9456 S Main St Ste D4, Jonesboro, GA 30236-6074 | 2019-04-17 |
| 1114412632 | Healthy Living Now Inc | Point of Service | 8174 Spring Ct, Riverdale, GA 30274-4317 | 2018-06-27 |
| 1629519202 | Nurse Practioner | Point of Service | 4044 George Busbee Pkwy Nw Apt 4207, Kennesaw, GA 30144-6890 | 2017-03-15 |
| 1033657143 | Glam She LLC | Point of Service | 4070 San Marco Way, Douglasville, GA 30135-2769 | 2017-02-09 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| 1245682079 | Butterfly Gardens Hopice & Palliative Care, LLC | Point of Service | 3112 Blackmon Ct, Hephzibah, GA 30815-7064 | 2016-07-05 |
| 1194179861 | A Humbling Spirit Family Practice, Inc. | Point of Service | 2412 Horseshoe Bend Rd Sw, Marietta, GA 30064-4412 | 2016-04-19 |
| 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.