ATHENS CLARKE MEDICAL ENTERPRISES LLC (NPI# 1538791579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538791579 |
Entity Type | Organization |
Organization Name | ATHENS CLARKE MEDICAL ENTERPRISES LLC |
Practice Address |
5401 Lake Oconee Pkwy Greensboro GA 30642-4232 |
Mailing Address |
Po Box 26544 Belfast ME 04915-2016 |
Practice Telephone | 7064537331 |
Mailing Telephone | 7708745400 |
Enumeration Date | 2020-02-07 |
Last Update Date | 2020-02-07 |
Authorized Official Name | NEAL A PRIEST (MEDICAL DIRECTOR) |
Authorized Official Telephone | 7062079960 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295370542 | Athens Clarke Medical Enterprises LLC | Emergency Medicine | 1230 Baxter St, Athens, GA 30606-3712 | 2019-11-11 |
Street Address |
5401 LAKE OCONEE PKWY |
City | GREENSBORO |
State | GA |
Zip Code | 30642-4232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346209137 | Good Samaritan Hospital, Inc. | Medicare Defined Swing Bed Unit | 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 2006-03-21 |
1396164141 | Kristina Collins | Emergency Medicine | 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 2014-04-09 |
1013116060 | Good Samaritan Hospital, Inc. | Medicare Defined Swing Bed Unit | 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 2007-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
Find all providers in zip 30642 |
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 |
---|---|---|---|---|
1033629183 | Claudia J Gibbons | Emergency Medicine | Po Box 10467, Greensboro, NC 27404-0467 | 2017-10-03 |
1114096039 | Charles Sheldon | Emergency Medicine | 7 Worthdale Ct, Greensboro, NC 27408-3636 | 2006-11-07 |
1972522423 | Anne Dickinson Alexander | Emergency Medicine | 810 Warren St, Greensboro, NC 27403-2340 | 2006-07-18 |
1366469108 | Simon E. Portee | Emergency Medicine | 120 Siloam Road, Greensboro, GA 30642 | 2006-07-17 |
1083649289 | Michael Younshik Ghim | Emergency Medicine | 2005 Pisgah Church Rd, Suite A, Greensboro, NC 27455-3309 | 2006-07-12 |
1750320727 | Lana S. O'neal | Emergency Medicine | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2006-06-05 |
1780652693 | Diamond Family Practice, Pllc | Emergency Medicine | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2006-03-08 |
1346758075 | Lindsey Layden | Emergency Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2018-01-16 |
1154852432 | Richard Dykstra | Emergency Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2017-03-27 |
1780125112 | Matthew Trifan | Emergency Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2017-03-18 |
Find all providers in GREENSBORO |
City | GREENSBORO |
Zip Code | 30642 |
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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.