TOCCOA CLINIC MEDICAL ASSOC (NPI# 1568662245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568662245 |
Entity Type | Organization |
Organization Name | TOCCOA CLINIC MEDICAL ASSOC |
Practice Address |
58 Big A Road Toccoa GA 30577-6000 |
Mailing Address |
Po Box 2153 Dept 3423 Birmingham AL 35287-3423 |
Practice Telephone | 7068867537 |
Practice Fax Number | 7068863150 |
Enumeration Date | 2007-07-20 |
Last Update Date | 2008-04-01 |
Authorized Official Name | MR. RAY BRUELAND (DIRECTOR OF BUSINESS) |
Authorized Official Telephone | 7068867537 |
Is Organization Subpart | Y |
Parent Organization Name | TOCCOA CLINIC MEDICAL ASSOCIATES, LLP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE DME SUPPLIER NUM | 0835590002 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306036892 | Toccoa Clinic Medical Assoc | Durable Medical Equipment & Medical Supplies | 274 Big A Road, Toccoa, GA 30577-6002 | 2007-07-31 |
Street Address |
58 BIG A ROAD |
City | TOCCOA |
State | GA |
Zip Code | 30577-6000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174516330 | Marc S Coan | Internal Medicine | 58 Big A Road, Toccoa, GA 30577-6017 | 2005-08-23 |
1124380761 | Charlotte Ann Griffith | Nurse Practitioner | 58 Big A Road, Toccoa, GA 30577-6017 | 2012-06-11 |
1720368681 | Persida L Petca | Nurse Practitioner | 58 Big A Road, Toccoa, GA 30577-6000 | 2011-08-24 |
1801101035 | Jennifer S Bennett | Nurse Practitioner | 58 Big A Road, Toccoa, GA 30577-6000 | 2010-08-12 |
1184952830 | Robert P Pauly | Surgery | 58 Big A Road, Toccoa, GA 30577-6000 | 2009-11-18 |
1871748491 | Robert Steven Kirby | Nurse Practitioner | 58 Big A Road, Toccoa, GA 30577-6000 | 2008-11-24 |
1649443698 | Barbara Hilton Arnold | Social Worker | 58 Big A Road, Toccoa, GA 30577-6000 | 2008-04-10 |
1700860913 | Jim R Wade | Internal Medicine | 58 Big A Road, Toccoa, GA 30577-6017 | 2005-12-01 |
1700876695 | Shannon G Shuler | Nurse Practitioner | 58 Big A Road, Toccoa, GA 30577-6000 | 2005-10-24 |
1588658330 | William A Mills | Family Medicine | 58 Big A Road, Toccoa, GA 30577-6000 | 2005-09-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982220513 | Jennifer Lynn Harper | Counselor | 46 Rice Lewis Gilliard Way, Toccoa, GA 30577 | 2020-06-19 |
1912528696 | Pittard Clinic LLC | Clinic/Center | 1654 Falls Rd, Toccoa, GA 30577 | 2020-05-04 |
1518313733 | Shellei Adams | Occupational Therapist | 23 Big A Rd, Toccoa, GA 30577 | 2016-05-06 |
1902212814 | Rebecca Coursey | Counselor | 1763 Fernside Dr., Avita Community Partners, Toccoa, GA 30577 | 2014-07-11 |
1427478742 | Cynthia Hemphill Wansley | Pharmacist | 3886 Georgia Highway 17, Toccoa, GA 30577 | 2014-04-25 |
1265850168 | Karen Kelley Colwell | Pharmacist | 3886 Hwy 17, Toccoa, GA 30577 | 2014-03-29 |
1972808160 | Cossar Chiropractic | Chiropractor | 2766 Ga Hwy 17, Toccoa, GA 30577 | 2011-01-19 |
1811216070 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 130 Haynes St, Toccoa, GA 30577 | 2010-05-26 |
1942435516 | Meadows Surgical Arts | Specialist | 203 Remsdale Rd, Toccoa, GA 30577 | 2009-05-26 |
1609011816 | Bryan Gerald Wood | Pharmacist | 102 N Sage Street, Stewart's Downtown Discount Drugs, Toccoa, GA 30577 | 2008-12-03 |
Find all providers in zip 30577 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245478346 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 876 Big A Rd, Toccoa, GA 30577-6008 | 2009-01-27 |
1720162977 | Convalescent Home Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 3002 Falls Rd, Toccoa, GA 30577-1401 | 2006-10-24 |
1407955685 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1156 Big A Road, Toccoa, GA 30577-6011 | 2006-09-22 |
1194241836 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1156 Big A Rd, Toccoa, GA 30577-6011 | 2017-08-15 |
1306036892 | Toccoa Clinic Medical Assoc | Durable Medical Equipment & Medical Supplies | 274 Big A Road, Toccoa, GA 30577-6002 | 2007-07-31 |
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1407455462 | Extending A Hand Home Care | Durable Medical Equipment & Medical Supplies | 207 Mill Ln, Tennille, GA 31089-4308 | 2020-10-21 |
1609475565 | Tonika Tchampo | Durable Medical Equipment & Medical Supplies | 8050 Taylor Rd Apt 1101, Riverdale, GA 30274-4392 | 2020-10-21 |
1629685649 | Rec Leasing LLC | Durable Medical Equipment & Medical Supplies | 6842 Roy Rd, Ellijay, GA 30536-6468 | 2020-09-24 |
1659986776 | Carmichael Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2950 Cherokee St Nw Ste 620, Kennesaw, GA 30144-6505 | 2020-09-15 |
1699380030 | Capstone Hme Inc | Durable Medical Equipment & Medical Supplies | 1129 Mente Dr, Savannah, GA 31415-3104 | 2020-09-12 |
1740895580 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 801 Broad St Ste 602, Augusta, GA 30901-1227 | 2020-09-09 |
1821602202 | Mcgarity Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3081 Stone Mountain St Ste A, Lithonia, GA 30058-4426 | 2020-09-03 |
1265044150 | Getwell Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 310 Glynn St N Ste B401, Fayetteville, GA 30214-1105 | 2020-08-20 |
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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.