THE HEALTHCARING CLINIC OF GEORGIA, LLC (NPI# 1669539508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669539508 |
Entity Type | Organization |
Organization Name | THE HEALTHCARING CLINIC OF GEORGIA, LLC |
Other Organization Name | THE LITTLE CLINIC OF GEORGIA LLC |
Practice Address |
491 East Main St. Cartersville GA 30121 |
Mailing Address |
P.o. Box 681765 Franklin TN 37068-1765 |
Practice Telephone | 6785351170 |
Mailing Telephone | 8668627276 |
Mailing Fax Number | 5024231699 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2013-05-23 |
Authorized Official Name | LISA LOSCALZO (PRESIDENT) |
Authorized Official Telephone | 8139072661 |
Is Organization Subpart | Y |
Parent Organization Name | THE HEALTHCARING COMPANY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE PTAN | GRP7984 | 01 |
GA | NPI | 1669539508 | 01 |
Other Name | Type Code |
---|---|
The Little Clinic of Georgia LLC | Former Legal Business Name - Organization |
Street Address |
491 EAST MAIN ST. |
City | CARTERSVILLE |
State | GA |
Zip Code | 30121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639700065 | Emilee Mcdonald Thomas | Pharmacist | 125 E Main Street Marketplace, Cartersville, GA 30121 | 2020-02-04 |
1245750249 | Gina Marie Hoosline | Contractor | 38 Roving Rd Se, Cartersville, GA 30121 | 2017-06-21 |
1730634239 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 125 E Main St Se, Cartersville, GA 30121 | 2016-08-25 |
1811340797 | Pt Solutions of Acworth LLC | Physical Therapist | 261 Stars Way, Cartersville, GA 30121 | 2016-07-15 |
1053572172 | Helen Clair Medlin | Nurse Practitioner | 255 Prosperity Way Ne, Adairsville, GA 30121 | 2008-06-20 |
1275636334 | Medicine Stop Pharmacy | Pharmacy | 117 S Tennessee St, Cartersville, GA 30121 | 2006-09-06 |
1750494423 | Georgia Pain Spine Center | Clinic/Center | 15 Medical Drive, Suite 302, Cartersville, GA 30121 | 2006-08-16 |
1932138716 | Cartersville Diagnostic Center | Clinic/Center | 21 Pointe North Drive, Suite 105, Cartersville, GA 30121 | 2006-07-02 |
1689663825 | Howard Jamie Williams | Physician Assistant | 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 | 2005-10-20 |
1770086167 | Josephine Wangari Ndingiu | Pharmacist | 101 Market Place Blvd, Cartersville, GA 30121 | 2018-03-13 |
Find all providers in zip 30121 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619500071 | Jennifer Lynne Broome | Nurse Practitioner | 9b Medical Dr Ne, Cartersville, GA 30121-8003 | 2020-02-13 |
1437461399 | Karen J Fegely | Nurse Practitioner | 970 Cassville White Rd Ne, Cartersville, GA 30121-7203 | 2010-07-08 |
1902073778 | Diana M Baughman | Nurse Practitioner | 1 N Tennessee St, Cartersville, GA 30120-3339 | 2008-05-12 |
1033717418 | Sandy Menard | Nurse Practitioner | 125 W Main St, Cartersville, GA 30120-3507 | 2020-10-16 |
1376153775 | Eunice Nsom | Nurse Practitioner | 965 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2130 | 2020-07-31 |
1114558723 | Danny Le | Nurse Practitioner | 650 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-3962 | 2020-02-01 |
1578103123 | Daniella Salazar Stearns | Nurse Practitioner | 650 Henderson Dr Ste 504, Cartersville, GA 30120-3760 | 2020-01-12 |
1184266066 | Cathrine Joseph Cheriyampurath | Nurse Practitioner | 650 Henderson Dr Ste 504, Cartersville, GA 30120-3760 | 2019-10-12 |
1588229330 | Lilian Chira | Nurse Practitioner | 950 E Main St, Cartersville, GA 30121-2225 | 2019-05-07 |
1316405608 | Ashley Lewis Satterfield | Nurse Practitioner | 100 Zena Dr, Cartersville, GA 30121-2482 | 2019-03-06 |
Find all providers in CARTERSVILLE |
City | CARTERSVILLE |
Zip Code | 30121 |
Please comment or provide details below to improve the information on THE HEALTHCARING CLINIC OF GEORGIA, LLC.
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.