COLUMBIA POLK GENERAL HOSPITAL, INC. (NPI# 1609820661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609820661 |
| Entity Type | Organization |
| Organization Name | COLUMBIA POLK GENERAL HOSPITAL, INC. |
| Other Organization Name | POLK MEDICAL CENTER |
| Practice Address |
424 N Main St Cedartown GA 30125-2644 |
| Practice Telephone | 7707482500 |
| Practice Fax Number | 7707499904 |
| Mailing Telephone | 7707482500 |
| Mailing Fax Number | 7707499904 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TIM PRESTRIDGE (CFO) |
| Authorized Official Telephone | 7707488506 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| POLK MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932153475 | Columbia Polk General Hospital, Inc. | General Acute Care Hospital | 424 N Main St, Cedartown, GA 30125-2644 | 2006-05-20 |
| Street Address |
424 N MAIN ST |
| City | CEDARTOWN |
| State | GA |
| Zip Code | 30125-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043860398 | Lorraine Louise Kennedy | Technician | 424 N Main St, Cedartown, GA 30125-2644 | 2019-09-18 |
| 1649741018 | Amber Hickok | Counselor | 424 N Main St, Cedartown, GA 30125-2644 | 2018-12-11 |
| 1538534169 | Angela Williams | Case Manager/Care Coordinator | 424 N Main St, Cedartown, GA 30125-2644 | 2015-12-08 |
| 1447625587 | Cindy Roberson | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-12-01 |
| 1013381136 | Donna Trotter | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-12-01 |
| 1073987103 | Michael Atwater | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-12-01 |
| 1063886232 | Ronni Michelle Heard | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-11-25 |
| 1164896320 | Sharon Crowder | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-11-25 |
| 1811361082 | Andrea Barrentine | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-11-25 |
| 1801260062 | Robin Deshone Moore | Day Training/Habilitation Specialist | 424 N Main St, Cedartown, GA 30125-2644 | 2015-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244607 | Ryan Ray Beck | Psychologist | 243 E. Girard Avenue, Cedartown, GA 30125 | 2008-12-30 |
| 1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
| 1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
| 1255444519 | Cedartown Radiology Group | Radiology | 424 North Main St, Cedartown, GA 30125 | 2006-08-17 |
| 1255822771 | Hannah Bell Helton | Nurse Practitioner | 2360 Rockmart Hwy, Cedartown, GA 30125 | 2018-05-21 |
| 1417168808 | Terri Lynn Willis | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125 | 2007-05-25 |
| 1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
| 1972760197 | Jerry Octave Weaver | Community Health Worker | 215 Fair Oaks Rd, Cedartown, GA 30125-2011 | 2008-05-16 |
| 1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
| 1639606049 | Kayla Benton | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2017-05-16 |
| Find all providers in zip 30125 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073927117 | Polk Medical Center, Inc | General Acute Care Hospital | 2360 Rockmart Hwy, Cedartown, GA 30125-6029 | 2014-06-17 |
| 1932153475 | Columbia Polk General Hospital, Inc. | General Acute Care Hospital | 424 N Main St, Cedartown, GA 30125-2644 | 2006-05-20 |
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|---|---|---|---|---|
| 1780046425 | Rasheeda Brown | General Acute Care Hospital | 362 E.g. Miles Parkway, Hinesville, GA 31310-0919 | 2016-03-22 |
| 1174800114 | Emory University Hospital | General Acute Care Hospital | 1355 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2011-11-04 |
| 1013211564 | Grady Health System | General Acute Care Hospital | 180 Victoria Dr, Fayetteville, GA 30214-1163 | 2010-12-26 |
| 1417264292 | Angela Marie Barco | General Acute Care Hospital | 3486 Peach Orchard Rd Ste 200, Augusta, GA 30906 | 2010-09-01 |
| 1780880583 | Wheeler County Hospital | General Acute Care Hospital | 111 North 3rd Street, Glenwood, GA 30428 | 2007-06-27 |
| 1609078047 | Medical College of Georgia | General Acute Care Hospital | 1120 15th St # Baa-5407, Augusta, GA 30912-0004 | 2007-06-05 |
| 1982821971 | Carl Vison Va Medical Center | General Acute Care Hospital | 48 Blueberry Farm Road, Adrian, GA 31002 | 2007-04-19 |
| 1326191180 | Professional Resources Management of Rabun, LLC | General Acute Care Hospital | 162 Legacy Pt, Clayton, GA 30525-5354 | 2007-01-18 |
| 1184771586 | Lower Oconee Community Hospital Inc | General Acute Care Hospital | 111 N 3rd Street, P O Bx 398, Glenwood, GA 30428 | 2007-01-05 |
| 1558423202 | Preferred Anesthesia Consultants | General Acute Care Hospital | 306 E 2nd Ave, Rome, GA 30161-3222 | 2006-12-15 |
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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.