DOUGLAS INTERNAL MEDICINE P.C. (NPI# 1639558539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639558539 |
| Entity Type | Organization |
| Organization Name | DOUGLAS INTERNAL MEDICINE P.C. |
| Other Organization Name | BACON COUNTY INTERNAL MEDICINE |
| Practice Address |
203 S Wayne St Alma GA 31510-2919 |
| Mailing Address |
306 Westside Dr Douglas GA 31533-3530 |
| Practice Telephone | 9123837826 |
| Practice Fax Number | 9123837299 |
| Mailing Telephone | 9123837826 |
| Mailing Fax Number | 9123837299 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | JAMES STAN SINCLAIR (OWNER) |
| Authorized Official Telephone | 9123837826 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036457 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bacon County Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457734097 | Douglas Internal Medicine P.C. | Nurse Practitioner | 1100 Ocilla Rd, Douglas, GA 31533-2206 | 2015-07-01 |
| 1275542953 | Douglas Internal Medicine P.C. | Internal Medicine | 306 Westside Dr, Douglas, GA 31533-3530 | 2006-08-05 |
| Street Address |
203 S WAYNE ST |
| City | ALMA |
| State | GA |
| Zip Code | 31510-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154429991 | Michael S. Deen | Family Medicine | 203 S Wayne St, Alma, GA 31510-2919 | 2006-09-20 |
| 1407159437 | Amanda Lee Boatright | Nurse Practitioner | 203 S Wayne St, Alma, GA 31510-2919 | 2010-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693407 | Shepard Therapy Center | Occupational Therapist | 139 Ga Highway 32 Byp, Alma, GA 31510 | 2019-11-13 |
| 1760027320 | Sean Shepard | Physical Therapist | 139 Ga Hwy 32 Bypass, Alma, GA 31510 | 2019-11-07 |
| 1043875586 | Tricare Ambulance Service L.L.C. | Ambulance | 172 Pine Hollow Ln, Alma, GA 31510 | 2019-05-09 |
| 1053806299 | Eva Fedd | Counselor | 901 North Pierce St, Alma, GA 31510 | 2018-06-29 |
| 1730570268 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1041 S Us Highway 1, Alma, GA 31510 | 2015-02-05 |
| 1356475644 | Bacon County Family Medicine, LLC | Family Medicine | 205 South Wayne Street, Alma, GA 31510 | 2007-03-16 |
| 1720124043 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 1835 W 12th Street, Alma, GA 31510 | 2007-01-30 |
| 1891832952 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Quart Douglas Road, Alma, GA 31510 | 2007-01-30 |
| 1992899082 | George Joel Williams Jr. | Dentist | 408 E 16th St, George J Williams Dds, Alma, GA 31510 | 2006-10-03 |
| 1093829343 | Charles E Bagley Mdpc | Family Medicine | 210 E 16th Street, Alma, GA 31510 | 2006-08-17 |
| Find all providers in zip 31510 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235367269 | Jeanine Ernest | Internal Medicine | 200 E Warwick Dr, Alma, MI 48801-1012 | 2009-06-29 |
| 1265596126 | Midmichigan Medical Center - Gratiot | Internal Medicine | 320 E Warwick Dr, Suite B, Alma, MI 48801-1014 | 2006-12-21 |
| 1255402855 | Pitchamuthu Solomon Ramanujeyam | Internal Medicine | 207 S Wayne St, Alma, GA 31510-2919 | 2006-11-13 |
| 1518318054 | Neha Kakkar | Internal Medicine | 204 E 15th St, Alma, GA 31510 | 2016-06-27 |
| 1992168603 | Christina Ann Kozlovski | Internal Medicine | 2025 W Cheesman Rd, Alma, MI 48801-9760 | 2016-03-30 |
| 1124480769 | Bradley Justin Greib | Internal Medicine | 300 E Warwick Dr, Alma, MI 48801-1014 | 2016-03-23 |
| 1770961021 | Pankti A Patel | Internal Medicine | 300 E Warwick Dr, Alma, MI 48801-1096 | 2015-05-07 |
| 1083992739 | Warwick Inpatient Services | Internal Medicine | 300 E Warwick Dr, Alma, MI 48801-1014 | 2011-07-29 |
| 1376835256 | Megan M Hoffman | Internal Medicine | 2025 W Cheesman Rd, Alma, MI 48801-9760 | 2011-05-10 |
| 1841503158 | Atul Kapoor | Internal Medicine | 300 E Warwick Dr, Alma, MI 48801-1014 | 2010-07-16 |
| Find all providers in ALMA | ||||
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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.