JAMES G KILLEBREW JR. (NPI# 1649215963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649215963 |
| Entity Type | Individual |
| Full Name | JAMES G KILLEBREW JR. |
| Credential | M.D. |
| Practice Address |
Clark-holder Clinic, P.a. 303 Smith Street Lagrange GA 30240 |
| Practice Telephone | 7068828831 |
| Practice Fax Number | 7068124091 |
| Mailing Telephone | 7068828831 |
| Mailing Fax Number | 7068124091 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 16939 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811086325 | James Edward Killebrew | Dentist | 703 N Tejon, Suite E, Colorado Springs, CO 80903 | 2006-10-12 |
| Street Address |
CLARK-HOLDER CLINIC, P.A. 303 SMITH STREET |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205871233 | Shih Yin Anna Kao | Ophthalmology | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-16 |
| 1487682373 | Clark-holder Clinic, P.a. | Family Medicine | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-29 |
| 1801822978 | Diane L Mcgowan | Otolaryngology | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-23 |
| 1629014907 | Kevin R Ward | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1972549269 | Mary Katherine Williams | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1932145125 | Tracy W. Flory | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1649216839 | Nancy H Perry | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1508802166 | Serena M Coulombe | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-21 |
| 1780620344 | Marlis J Dunlap | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-21 |
| 1831135987 | James P Mcgowan | Internal Medicine | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417369315 | Megan Lisset Jimenez | Orthopaedic Surgery | 1805 Vernon Rd Ste B, Lagrange, GA 30240-3871 | 2014-05-27 |
| 1073654489 | Southern Center for Orthopedics | Orthopaedic Surgery | 1805 Vernon Rd, Suite B, Lagrange, GA 30240-4041 | 2007-02-09 |
| 1740367416 | Eugene E Jacob Md Pllc | Orthopaedic Surgery | 1023 New Moody Ln, Ste 102, Lagrange, KY 40031-9177 | 2006-11-01 |
| 1578587424 | Eugene E Jacob | Orthopaedic Surgery | 1023 New Moody Ln, Suite 102, Lagrange, KY 40031-9177 | 2006-07-26 |
| 1174567135 | Rene Marc Huberdeau | Orthopaedic Surgery | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-16 |
| 1538149760 | Robert R Comerford | Orthopaedic Surgery | 1805 Vernon Rd, Suite B, Lagrange, GA 30240-4041 | 2006-01-23 |
| 1609846831 | Daniel K Guy | Orthopaedic Surgery | 1805 Vernon Rd, Suite B, Lagrange, GA 30240-4041 | 2006-01-23 |
| 1962482547 | Brian M Terry | Orthopaedic Surgery | 1805 Vernon Rd, Suite B, Lagrange, GA 30240-4041 | 2006-01-19 |
| 1710967476 | James F Bruce Jr. | Orthopaedic Surgery | 1805 Vernon Rd, Suite B, Lagrange, GA 30240-4041 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1568061000 | Esrpa | Orthopaedic Surgery | 1717 Benhill Dr, Snellville, GA 30078-2595 | 2020-10-24 |
| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
| 1982248597 | Atlanta Area Orthopedics and Regenerative Medicine LLC | Orthopaedic Surgery | 2878 Five Forks Trickum Rd Ste 2c, Lawrenceville, GA 30044-5896 | 2019-11-06 |
| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1588121123 | 2019 Coastal Orthopedics Surgical Assist LLC | Orthopaedic Surgery | 8882 Abercorn St, Savannah, GA 31406-4508 | 2019-03-01 |
| 1386108769 | Focus Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 642 Hospital Rd, Commerce, GA 30529-1142 | 2019-01-30 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
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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.