PHOEBE PHYSICIAN GROUP INC (NPI# 1487899464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487899464 |
| Entity Type | Organization |
| Organization Name | PHOEBE PHYSICIAN GROUP INC |
| Practice Address |
500 W 3rd Ave Ste 101 Albany GA 31701-1900 |
| Mailing Address |
Po Box 13493 Belfast ME 04915-4025 |
| Practice Telephone | 2293125800 |
| Practice Fax Number | 2293125853 |
| Mailing Telephone | 2293125800 |
| Mailing Fax Number | 2293125853 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2014-06-26 |
| Authorized Official Name | ROBERT LAGESSE (SR VP OF PHYSICIAN PRACTICES) |
| Authorized Official Telephone | 2293121000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
500 W 3RD AVE STE 101 |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740630672 | Holley M Ivey | Nurse Practitioner | 500 W 3rd Ave Ste 101, Albany, GA 31701-1900 | 2016-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1861808966 | Catherine Macomber | Clinic/Center | 1430 Western Ave, Albany, NY 12203-3422 | 2014-07-09 |
| 1487083671 | Fastrack Urgent Care LLC | Clinic/Center | 2822 Nottingham Way, Albany, GA 31707-7629 | 2013-11-07 |
| 1659627131 | Phoebe Gastroenterology Associates | Clinic/Center | 2740 Ray Knight Way, Ste 100, Albany, GA 31707-0226 | 2012-08-02 |
| 1639441801 | William Joseph Cromie | Clinic/Center | 157 Lancaster Street, Albany, NY 12210-1903 | 2012-02-03 |
| 1417279548 | Monarch Medical Group LLC | Clinic/Center | 1970 14th Ave Se Ste 120, Albany, OR 97322-8504 | 2010-02-16 |
| 1851520514 | Capitol Surgery Center LLC | Clinic/Center | 633 Waverly Dr Se, Albany, OR 97322-5078 | 2009-07-02 |
| 1477709871 | Active Family Chiropractic, PC | Clinic/Center | 3 Pine West Plz Ste 304, Washington Avenue Extension, Albany, NY 12205-5522 | 2008-08-18 |
| 1881755601 | Upper Hudson Planned Parenthood Inc. | Clinic/Center | 855 Central Ave., Albany, NY 12206 | 2006-12-13 |
| 1154406221 | Pearl Street Counseling Center, Inc. | Clinic/Center | 109 State St, Albany, NY 12207-1622 | 2006-10-26 |
| Find all providers in ALBANY | ||||
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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.