INMED CLINICAL SERVICES LLC (NPI# 1588925432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588925432 |
| Entity Type | Organization |
| Organization Name | INMED CLINICAL SERVICES LLC |
| Other Organization Name | NORTH SHORE HEALTHCARE ASSOCIATES - SURGICAL SERVICES |
| Practice Address |
196 Ridgecrest Cir Clayton GA 30525-4111 |
| Mailing Address |
Po Box 5013 Montgomery AL 36103-5013 |
| Practice Telephone | 7067822433 |
| Mailing Telephone | 3343860343 |
| Mailing Fax Number | 3343860382 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |
| Authorized Official Name | VICKI LAWRENSON (COO) |
| Authorized Official Telephone | 3343860343 |
| Is Organization Subpart | Y |
| Parent Organization Name | INMED CLINICAL SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Shore Healthcare Associates - Surgical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861754202 | Inmed Clinical Services LLC | Hospitalist | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2012-06-12 |
| 1962764308 | Inmed Clinical Services LLC | Internal Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-12 |
| 1356602205 | Inmed Clinical Services LLC | General Practice | 773 N Main St, Clayton, GA 30525-4257 | 2012-06-06 |
| 1033470984 | Inmed Clinical Services LLC | Family Medicine | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2012-06-06 |
| 1497016356 | Inmed Clinical Services LLC | Family Medicine | 5303 Vaughn Rd, Montgomery, AL 36116-1120 | 2012-06-06 |
| Street Address |
196 RIDGECREST CIR |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057363 | Professional Resource Mgmt of Rabun, LLC | General Acute Care Hospital | 196 Ridgecrest Cir, Surgical Service, Clayton, GA 30525-4111 | 2005-07-20 |
| 1619381845 | Timothy J Gooding | Chiropractor | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2014-06-16 |
| 1962764308 | Inmed Clinical Services LLC | Internal Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-12 |
| 1306107149 | Ermds LLC | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-07 |
| 1841569993 | Kimberly V Terrell | Dietitian, Registered | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2011-12-19 |
| 1316236961 | Amara Center | Health Educator | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2011-04-05 |
| 1134435282 | Kramer Anesthesia Consulting Service | Anesthesiology | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2010-08-27 |
| 1497913180 | Foothills Emergency Services, LLC | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2008-05-29 |
| 1144491663 | Hon Medical Group, PC | Surgery | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2008-03-13 |
| 1265560726 | Professional Resources Management of Rabun,llc | Medicare Defined Swing Bed Unit | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487636106 | Craig Steven Carter | Surgery | 2076 Nc Hwy 42 W, Ste 240, Johnston Professional Plaza, Clayton, NC 27520-9226 | 2005-11-17 |
| 1740688548 | Northern New Mexico Surgical Services PC | Surgery | 300 Wilson St, Clayton, NM 88415-3304 | 2014-12-09 |
| 1144491663 | Hon Medical Group, PC | Surgery | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2008-03-13 |
| 1164616892 | Highlands Surgical Services LLC | Surgery | 315 N 3rd Ave, Clayton, NM 88415-3300 | 2007-09-06 |
| 1205979481 | R.p.h. Surgical, Inc. | Surgery | 2076 Nc Hwy 42 W, Ste 240 Johnston Professional Plaza, Clayton, NC 27520-9226 | 2007-02-15 |
| 1386658094 | Patrick J C De Baca | Surgery | 315 N 3rd Ave, Clayton, NM 88415-3300 | 2006-07-28 |
| 1376532424 | Paul Michael Willette | Surgery | 300 Wilson St, Clayton, NM 88415-3304 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
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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.