ADVENTIST HEALTH SYSTEM GEORGIA, INC. (NPI# 1669867487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669867487 |
Entity Type | Organization |
Organization Name | ADVENTIST HEALTH SYSTEM GEORGIA, INC. |
Other Organization Name | ADVENTHEALTH MURRAY EMS |
Practice Address |
707 Old Dalton Ellijay Rd Chatsworth GA 30705-2029 |
Practice Telephone | 7065174564 |
Practice Fax Number | 7065172076 |
Mailing Telephone | 7065174564 |
Mailing Fax Number | 7065172076 |
Enumeration Date | 2015-03-30 |
Last Update Date | 2020-09-17 |
Authorized Official Name | MICHAEL MURRILL (PRESIDENT/CEO) |
Authorized Official Telephone | 7068794710 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0105125 | GA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00001383B | 05 |
Other Name | Type Code |
---|---|
AdventHealth Murray EMS | Doing Business As Name - Organization |
Murray Medical Center | Doing Business As Name - Organization |
Murray Medical Center | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750776571 | Adventist Health System Georgia, Inc. | General Acute Care Hospital | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2015-03-30 |
1760402424 | Adventist Health System Georgia, Inc. | General Acute Care Hospital | 1035 Red Bud Rd Ne, Calhoun, GA 30701-2082 | 2006-07-19 |
1073555256 | Adventist Health System Georgia, Inc. | Home Health | 105 Willowbrook Way Se, Calhoun, GA 30701-1404 | 2006-06-12 |
Street Address |
707 OLD DALTON ELLIJAY RD |
City | CHATSWORTH |
State | GA |
Zip Code | 30705-2029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336124072 | Penny Lynn Charrance | Emergency Medicine | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2005-12-14 |
1043783970 | Murray Emergency Physicians, LLC | Emergency Medicine | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2019-01-03 |
1972031284 | Rebaika Chopra | Hospitalist | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2017-05-31 |
1588195515 | John Charles Rogers | Nurse Practitioner | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2017-03-22 |
1639621485 | Gordon Emergency Physicians, LLC | Emergency Medicine | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2016-10-27 |
1518330349 | Waterfall Emergency Physicians, LLC | Physician Assistant | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2015-11-02 |
1164894028 | Safeguard Emergency Physicians, LLC | Physician Assistant | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2015-10-30 |
1750776571 | Adventist Health System Georgia, Inc. | General Acute Care Hospital | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2015-03-30 |
1568863256 | Meredith Lynn Herring | Nurse Practitioner | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2014-09-12 |
1699113357 | Georgia Em-i Medical Services PC | Nurse Practitioner | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2013-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821582784 | Kayla Michelle Khan | Dentist | 221 N. 4th Avenue, Chatsworth, GA 30705 | 2018-06-14 |
1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
1518472778 | Rebecca Annette Lunsford | Case Manager/Care Coordinator | 165 Freedom Way, Chatsworth, GA 30705 | 2017-12-11 |
1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
1063731560 | Travis Mckie-voerste | Counselor | 96 Terrace Ct, Chatsworth, GA 30705 | 2010-05-24 |
1609962521 | Charlie Weichen Fang | Emergency Medicine | 707 Old Ellijay Road, Chatsworth, GA 30705 | 2006-10-05 |
1619941689 | Murray County Board of Health | Public Health or Welfare | 709 Dalton-ellijay Highway, Chatsworth, GA 30705 | 2006-02-15 |
1780671974 | Trom Enterprises, Inc. | Pharmacy | 101 Murray Plaza, Chatsworth, GA 30705 | 2005-10-03 |
1518953785 | Yara Fattouh | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2005-09-23 |
Find all providers in zip 30705 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902177991 | Murray County Memorial Hospital Authority | Ambulance | 707 Old Dalton Ellijay Rd, Chatsworth, GA 30705-2029 | 2012-01-23 |
1285803700 | Murray Medical Center, Inc. | Ambulance | 104 Hospital Dr, Chatsworth, GA 30705-2058 | 2008-02-28 |
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City | CHATSWORTH |
Zip Code | 30705 |
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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.