MACON OCCUPATIONAL MEDICINE (NPI# 1669973186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669973186 |
| Entity Type | Organization |
| Organization Name | MACON OCCUPATIONAL MEDICINE |
| Other Organization Name | FORT VALLEY STATE UNIVERSITY STUDENT HEALTH SERVICES |
| Practice Address |
1005 State University Dr Fort Valley GA 31030-4313 |
| Mailing Address |
124 3rd St Macon GA 31201-3404 |
| Practice Telephone | 4789728900 |
| Mailing Telephone | 4787512925 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | LEONARD BEVILL (PRESIDENT/CEO) |
| Authorized Official Telephone | 4787512900 |
| Is Organization Subpart | Y |
| Parent Organization Name | MACON OCCUPATIONAL MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fort Valley State University Student Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902341787 | Macon Occupational Medicine | Clinic/Center | 818 Forsyth St Fl 2, Macon, GA 31201-2139 | 2017-01-03 |
| 1255834321 | Macon Occupational Medicine | Clinic/Center | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2018-03-14 |
| 1922392356 | Macon Occupational Medicine | Clinic/Center | 124 3rd St, Macon, GA 31201-3404 | 2011-06-02 |
| Street Address |
1005 STATE UNIVERSITY DR |
| City | FORT VALLEY |
| State | GA |
| Zip Code | 31030-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871618231 | Crystal V Small | Specialist/Technologist | 1005 State University Dr, Department of Athletics, Fort Valley, GA 31030-4313 | 2007-03-21 |
| 1457737769 | Fort Valley State University | Internal Medicine | 1005 State University Dr, Fort Valley, GA 31030-4313 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801302997 | Careconnect Health, Inc. | Clinic/Center | 209 North Camellia Blvd., Fort Valley, GA 31030 | 2017-12-27 |
| 1902345408 | Latrina Avant | Counselor | 164 Mahoney Lane, Fort Valley, GA 31030 | 2017-02-16 |
| 1447648159 | Five Points Pharmacy, LLC | Pharmacy | 115 Commercial Heights, Fort Valley, GA 31030 | 2015-01-05 |
| 1316208341 | Ulysses L. Marable IIi, Dmd, LLC | Dentist | 1030 Peach Parkway, Ste 9, Fort Valley, GA 31030 | 2012-06-06 |
| 1083901706 | Church Home Rehabilitation and Healthcare, LLC | Skilled Nursing Facility | 2470 Hwy 41 North, Fort Valley, GA 31030 | 2011-07-01 |
| 1295054393 | Melanie Marie Henson | Counselor | 410 East Church Street, Fort Valley, GA 31030 | 2010-05-28 |
| 1538329016 | First Born Outreach Center Inc | Assisted Living Facility | 103 Lavender Street, Fort Valley, GA 31030 | 2008-06-10 |
| 1871507640 | Gayton Health Centre | Optometrist | 440 Taylors Mill Rd, Fort Valley, GA 31030 | 2006-07-28 |
| 1215906136 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 557 Bluebird Blvd, Fort Valley, GA 31030 | 2006-03-14 |
| 1871568550 | Patricia S Winter | Counselor | 700 Mlk Dr, Ft Valley, GA 31030 | 2006-02-17 |
| Find all providers in zip 31030 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1447742614 | John Francis Halpin | Preventive Medicine | Occupational Health Clinic Bldg. 16, 1600 Clifton Rd., Atlanta, GA 30333 | 2018-06-04 |
| 1790234086 | U.S. Healthworks Medical Group of Georgia, Inc. | Preventive Medicine | 470 Franklin Gtwy Se, Suite 103, Marietta, GA 30067-7739 | 2016-09-27 |
| 1184173478 | U.S. Healthworks Medical Group of Georgia, Inc. | Preventive Medicine | 7750 The Blfs Ste 100, Austell, GA 30168-7754 | 2016-09-27 |
| 1518329440 | Harold Wayne Clayton | Preventive Medicine | 1133 Drewsbury Ct Se, Smyrna, GA 30080-3953 | 2016-03-21 |
| 1932511946 | Richard Miller | Preventive Medicine | 100 Alabama St Sw, Atlanta, GA 30303-8701 | 2014-05-24 |
| 1801219373 | Fredric Kevin Rosenberg | Preventive Medicine | 3270 Cochise Dr Se, Atlanta, GA 30339-4319 | 2014-02-03 |
| 1508121625 | Ohm Clinical Services, Inc. | Preventive Medicine | 8100b Roswell Rd, 400, Atlanta, GA 30350-6428 | 2012-07-05 |
| 1194957084 | Paul Joe | Preventive Medicine | 601 Belgrave Ln, Tucker, GA 30084-2077 | 2009-08-11 |
| 1497998058 | Margarett Ann Wilson | Preventive Medicine | 80 Jesse Hill Drive Ne, Atlanta, GA 30303 | 2009-04-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT VALLEY |
| Zip Code | 31030 |
Please comment or provide details below to improve the information on MACON OCCUPATIONAL MEDICINE.
| 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.