WILLIAM SWOFFORD MD PC (NPI# 1609182765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609182765 |
| Entity Type | Organization |
| Organization Name | WILLIAM SWOFFORD MD PC |
| Other Organization Name | COLQUITT COMPLETE CARE LLC |
| Practice Address |
210 W Main St Ste 4 Colquitt GA 39837-3434 |
| Practice Telephone | 2297583002 |
| Practice Fax Number | 2297589415 |
| Mailing Telephone | 2297583002 |
| Mailing Fax Number | 2297589415 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |
| Authorized Official Name | WILLIAM F SWOFFORD (OWNER) |
| Authorized Official Telephone | 2297583002 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN132537 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 046262 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00815515C | 05 |
| Other Name | Type Code |
|---|---|
| Colquitt Complete Care LLC | Former Legal Business Name - Organization |
| Street Address |
210 W MAIN ST STE 4 |
| City | COLQUITT |
| State | GA |
| Zip Code | 39837-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548490 | Ashlie Lynn Brackin | Nurse Practitioner | 210 W Main St Ste 4, Colquitt, GA 39837-3434 | 2020-08-12 |
| 1942724919 | Ansley Poague | Nurse Practitioner | 210 W Main St Ste 4, Colquitt, GA 39837-3434 | 2017-08-01 |
| 1396187936 | Susan Michelle Askew | Nurse Practitioner | 210 W Main St Ste 4, Colquitt, GA 39837-3434 | 2013-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| 1679069231 | Vashawn Renee Mosley | Nurse Practitioner | Hospital Authority of Miller County, Miller County Hospital, 209 N. Cuthbert Street, Colquitt, GA 39837 | 2018-07-07 |
| 1427572361 | Brittany N. Harrison | Physical Therapist | 514 E. Crawford St., Colquitt, GA 39837 | 2017-08-02 |
| 1629417134 | Trevor Lee Butner | Family Medicine | Miller County Medical Center, 208 N. Cuthbert Street, Colquitt, GA 39837 | 2013-06-18 |
| 1942514609 | Mac Bradley Davis | Nurse Anesthetist, Certified Registered | 209 North Cuthbert Street, Colquitt, GA 39837 | 2010-08-04 |
| 1730410341 | Loving Care Personal Care Home | Assisted Living Facility | 168 East Crawford St, Colquitt, GA 39837 | 2010-01-21 |
| 1528110103 | The Hospital Authority of Miller County | Clinic/Center | 208 North Cuthbert St, Colquitt, GA 39837 | 2007-01-17 |
| 1780293035 | The Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-23 |
| 1508372863 | Megan Odom Battles | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837 | 2017-12-22 |
| 1790108736 | Amy Askew Sanderson | Registered Nurse | 209 N Cuthbert St, Colquitt, GA 39837 | 2014-01-28 |
| Find all providers in zip 39837 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629417134 | Trevor Lee Butner | Family Medicine | Miller County Medical Center, 208 N. Cuthbert Street, Colquitt, GA 39837 | 2013-06-18 |
| 1336135946 | Garrett N Bennett | Family Medicine | 208 N. Cuthbert St., Miller County Medical Center, Colquitt, GA 39837-3517 | 2005-09-20 |
| 1508372863 | Megan Odom Battles | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837 | 2017-12-22 |
| 1902256027 | Zalika Nisbeth | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837-3517 | 2016-06-20 |
| 1649620113 | Nakeisha Anne Otto-stewart | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837-3517 | 2016-06-15 |
| 1639327224 | Brand Professional Services Inc | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837-3517 | 2008-09-08 |
| 1265602940 | Colquitt Complete Care LLC | Family Medicine | 210 W Main St, Suite 4, Colquitt, GA 39837-3433 | 2008-03-10 |
| 1538222393 | Roy Richard Reardon | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837-3517 | 2006-12-19 |
| 1861555609 | Edgar Lowell Justice | Family Medicine | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2006-12-19 |
| 1922160894 | David Lamar Brand Jr. | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837-3517 | 2006-12-15 |
| Find all providers in COLQUITT | ||||
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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.