HEALTHSTAT ONSITE HSM FORT VALLEY (NPI# 1679059588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679059588 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE HSM FORT VALLEY |
| Practice Address |
256 Industrial Blvd Fort Valley GA 31030-6285 |
| Mailing Address |
4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 |
| Practice Telephone | 7049365536 |
| Mailing Telephone | 7049355546 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Telephone | 7049365546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
256 INDUSTRIAL BLVD |
| City | FORT VALLEY |
| State | GA |
| Zip Code | 31030-6285 |
| 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 | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482918 | Healthstat Health Center Hsm-atlanta | Preventive Medicine | 362 Industrial Park Dr, Lawrenceville, GA 30046-4646 | 2020-09-22 |
| 1750992376 | Healthstat Inc Southeaster Paper Atlanta | Preventive Medicine | 2400 Sullivan Rd Bldg A, College Park, GA 30337-6318 | 2020-08-17 |
| 1811508419 | Healthstat Inc Piolax | Preventive Medicine | 139 Etowah Industrial Ct, Canton, GA 30114-8017 | 2020-08-17 |
| 1528694452 | Healthstat Onsite Clinic Southern Nuclear | Preventive Medicine | 7825 River Rd, Waynesboro, GA 30830-2965 | 2020-03-23 |
| 1043843535 | Healthstat Onsite Clinic Intelsat Global | Preventive Medicine | 2875 Fork Creek Church Rd, Ellenwood, GA 30294-1224 | 2020-02-13 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1477052173 | Healthstat Onsite Clinic-coats Albany Distribution | Preventive Medicine | 601 Holly Dr, Albany, GA 31705-4314 | 2018-02-08 |
| 1124527007 | Healthstat Onsite Clinic-coats Douglas | Preventive Medicine | 1401 Pope Dr, Douglas, GA 31535-5923 | 2018-02-07 |
| 1114426095 | Healthstat Onsite Clinic Coats Toccoa | Preventive Medicine | 374 Coats Dr, Toccoa, GA 30577-7986 | 2018-02-07 |
| 1942709829 | Healthstat Onsite Clinic-coats Albany | Preventive Medicine | 901 Clark Ave, Albany, GA 31705-1962 | 2018-02-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT VALLEY |
| Zip Code | 31030 |
Please comment or provide details below to improve the information on HEALTHSTAT ONSITE HSM FORT VALLEY.
| 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.