ICH PHYSICIAN GROUP (NPI# 1487158135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487158135 |
| Entity Type | Organization |
| Organization Name | ICH PHYSICIAN GROUP |
| Other Organization Name | IRWIN COUNTY HOSPITAL AUTHORITY |
| Practice Address |
710 N Irwin Ave Ocilla GA 31774-5011 |
| Practice Telephone | 2294683800 |
| Mailing Telephone | 2294683800 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | PAIGE WYNN (CEO) |
| Authorized Official Telephone | 2294579484 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Irwin County Hospital Authority | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245868918 | Ich Physician Group | Clinic/Center | 361 Cargile Rd, Ocilla, GA 31774-3606 | 2020-03-30 |
| Street Address |
710 N IRWIN AVE |
| City | OCILLA |
| State | GA |
| Zip Code | 31774-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720098791 | Irwin County Hospital | General Acute Care Hospital | 710 N Irwin Ave, Ocilla, GA 31774-5011 | 2006-08-09 |
| 1710422738 | Julie M Harper | Nurse Anesthetist, Certified Registered | 710 N Irwin Ave, Ocilla, GA 31774-5011 | 2016-12-29 |
| 1275754103 | Irwin County Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 710 N Irwin Ave, Ocilla, GA 31774-5011 | 2007-05-01 |
| 1801967120 | Robert Juran Ray | Nurse Anesthetist, Certified Registered | 710 N Irwin Ave, Ocilla, GA 31774-5011 | 2006-11-10 |
| 1861562951 | Charles Ashley Wills | Pharmacist | 710 N Irwin Ave, Ocilla, GA 31774-5011 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003463605 | Mary Paulk | Technician | 303 N Elm Street, Ocilla, GA 31774 | 2019-08-20 |
| 1205106903 | Tift Regional Health System Inc | Internal Medicine | 813 N. Irwin Avenue, Ocilla, GA 31774 | 2012-01-11 |
| 1497051155 | Hospice Care Options Inc | Hospice Care, Community Based | 200 S Cherry St Ste A, Ocilla, GA 31774 | 2011-01-28 |
| 1578788410 | Howard C Mcmahan Md Irwin Family Medicine Associates | Family Medicine | 361 Cargile Road, Ocilla, GA 31774 | 2007-04-16 |
| 1720150071 | Irwin County Board of Education | Local Education Agency (LEA) | 210 Apple Street, Ocilla, GA 31774 | 2006-11-14 |
| 1376624569 | South Central Primary Care Center | Clinic/Center | 357 Cargile Rd, Ocilla, GA 31774 | 2006-10-17 |
| 1508979964 | Arturo Natada Ruanto | Family Medicine | 202 South Cherry St., Ocilla, GA 31774 | 2006-08-17 |
| 1861403727 | A & H Drugs LLC | Durable Medical Equipment & Medical Supplies | 615 N. Irwin Avenue, Ocilla, GA 31774 | 2006-08-10 |
| 1285009555 | Jessica Marie Lyons | Nurse Practitioner | 361 Cargile Road, Ocilla, GA 31774 | 2015-12-11 |
| 1649356981 | South Central Primary Care Center | Clinic/Center | 200 S Cherry St, Ocilla, GA 31774 | 2006-10-30 |
| Find all providers in zip 31774 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518357607 | Hospital Authority of Irwin County | Family Medicine | 602 N Irwin Ave, Ocilla, GA 31774-5010 | 2015-01-28 |
| 1578788410 | Howard C Mcmahan Md Irwin Family Medicine Associates | Family Medicine | 361 Cargile Road, Ocilla, GA 31774 | 2007-04-16 |
| 1457473779 | Howard C Mcmahan | Family Medicine | 361 Cargile Rd, Ocilla, GA 31774-3606 | 2007-04-06 |
| 1508979964 | Arturo Natada Ruanto | Family Medicine | 202 South Cherry St., Ocilla, GA 31774 | 2006-08-17 |
| 1437785995 | Hospital Authority of Irwin County | Family Medicine | 361 Cargile Rd, Ocilla, GA 31774-3606 | 2020-03-17 |
| 1033595327 | Irwin County Hospital | Family Medicine | 200 S Cherry St, Ocilla, GA 31774-1804 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
| 1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
| 1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
| 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.