SHAW FAMILY HEALTH CENTER (NPI# 1639509227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639509227 |
| Entity Type | Organization |
| Organization Name | SHAW FAMILY HEALTH CENTER |
| Other Organization Name | QUAD MED |
| Practice Address |
2659 Abutment Rd Dalton GA 30721-4887 |
| Practice Telephone | 7065326700 |
| Practice Fax Number | 7065326750 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |
| Authorized Official Name | MR. DEVIN L HANDLEY (PHYSICIAN) |
| Authorized Official Telephone | 7065326700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | QUAD MED |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | GA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI | 1801866447 | 01 |
| Other Name | Type Code |
|---|---|
| Quad Med | Other Name - Individual/Organization |
| Street Address |
2659 ABUTMENT RD |
| City | DALTON |
| State | GA |
| Zip Code | 30721-4887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548587694 | Bryan Davis Beasley | Rehabilitation Practitioner | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2010-04-29 |
| 1336761410 | Christina T Howell | Social Worker | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2020-05-12 |
| 1851857684 | Jennica Johnson | Dietitian, Registered | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2019-02-18 |
| 1588128656 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2019-01-23 |
| 1073099248 | Rocco Sarli Jr. | Physical Therapist | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2018-07-11 |
| 1740601855 | Andrew Bethea | Rehabilitation Practitioner | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1205288164 | Medprime Brookhaven | Preferred Provider Organization | 2 Concourse Pkwy, Suite 100, Atlanta, GA 30328-5371 | 2016-07-04 |
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| 1730553322 | Amanda Kort, LLC | Preferred Provider Organization | 37 West Fairmont Avenue, Savannah, GA 31405 | 2015-11-19 |
| Find all providers with the same taxonomy | ||||
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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.