HOSPITALMD OF EAST GEORGIA INC (NPI# 1508280165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508280165 |
| Entity Type | Organization |
| Organization Name | HOSPITALMD OF EAST GEORGIA INC |
| Practice Address |
200 N River St Claxton GA 30417-1659 |
| Mailing Address |
Po Box 896135 Charlotte NC 28289-6135 |
| Practice Telephone | 9127392611 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | JAMES BURNETTE (CEO) |
| Authorized Official Telephone | 7706318478 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
200 N RIVER ST |
| City | CLAXTON |
| State | GA |
| Zip Code | 30417-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295794220 | Evans Emergency Group LLC | Physician Assistant | 200 N River St, Claxton, GA 30417-1659 | 2006-03-20 |
| 1467960146 | Southland Evans Hospitalist Group LLC | Hospitalist | 200 N River St, Claxton, GA 30417-1659 | 2018-01-17 |
| 1730697418 | Southland Evans Emergency Medical Services LLC | Emergency Medicine | 200 N River St, Claxton, GA 30417-1659 | 2018-01-17 |
| 1861926438 | Evans Memorial Hospital, Inc. | Psychiatric Unit | 200 N River St, Claxton, GA 30417-1659 | 2017-04-20 |
| 1104350057 | Evans Memorial Hospital, Inc. | General Acute Care Hospital | 200 N River St, Claxton, GA 30417-1659 | 2017-04-18 |
| 1831639012 | Ankle and Foot Assoc, LLC | Podiatrist | 200 N River St, Claxton, GA 30417-1659 | 2017-03-07 |
| 1588082358 | Hospitalmd of East Georgia Ip Inc | Hospitalist | 200 N River St, Claxton, GA 30417-1659 | 2014-03-31 |
| 1083959183 | Katharine Reeves Akins | Nurse Practitioner | 200 N River St, Claxton, GA 30417-1659 | 2012-11-30 |
| 1972743987 | Platinum Anesthesia Coastal, LLC | Nurse Anesthetist, Certified Registered | 200 N River St, Dept of Anesthesia, Claxton, GA 30417-1659 | 2009-03-03 |
| 1770739583 | Lonye White | Social Worker | 200 N River St, Claxton, GA 30417-1659 | 2008-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621418 | East Georgia Healthcare Center Inc | Clinic/Center | 6459 Us Hwy 301 S, Claxton, GA 30417 | 2018-06-04 |
| 1760717433 | Evans Memorial Hospital | Family Medicine | 602 A E. Long St., Claxton, GA 30417 | 2009-10-13 |
| 1215147095 | Lindy Homer Morgan | Chiropractor | 604 West Liberty Street, Claxton, GA 30417 | 2007-05-23 |
| 1588792113 | Home Care Aids, Inc. | Durable Medical Equipment & Medical Supplies | 107-b S. Duval St., Claxton, GA 30417 | 2007-03-02 |
| 1245314053 | Paul R Hawkins | Family Medicine | 501 E. Long Street, Claxton, GA 30417 | 2006-10-25 |
| 1235213158 | Jesse B Scott | Internal Medicine | 602 E. Long Street, Claxton, GA 30417 | 2006-10-25 |
| 1336533199 | Optim Orthopedics, LLC | Orthopaedic Surgery | 209 North River Street, Claxton, GA 30417 | 2015-03-19 |
| 1649555178 | Suzannah Jo Williamson | Nurse Practitioner | 602 E. Long Street, Claxton, GA 30417 | 2011-10-16 |
| 1184021347 | Charles E.kelly & Company | Counselor | 409 Oak St, Claxton, GA 30417-1351 | 2014-12-03 |
| 1073963476 | Claxton Family Dentistry LLC | Dentist | 201 E Long St, Claxton, GA 30417-1409 | 2016-06-16 |
| Find all providers in zip 30417 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730697418 | Southland Evans Emergency Medical Services LLC | Emergency Medicine | 200 N River St, Claxton, GA 30417-1659 | 2018-01-17 |
| 1104879931 | David Bruce Brantley | Emergency Medicine | 200 N River St, Claxton, GA 30417-1659 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1538646526 | Edwige Goby Konwo-tayo | Emergency Medicine | 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088-2796 | 2018-07-23 |
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1114450806 | Peyton Jones Syed | Emergency Medicine | 13765 Brittle Rd, Alpharetta, GA 30004-3592 | 2017-04-10 |
| 1437690658 | Miles Anthony Medina | Emergency Medicine | 1133 Eagles Landing Pkwy # Er, Stockbridge, GA 30281-5085 | 2017-03-20 |
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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.