SOUTHLAND MEDICAL SOLUTIONS OF BERRIEN, PLLC (NPI# 1679709125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679709125 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND MEDICAL SOLUTIONS OF BERRIEN, PLLC |
| Practice Address |
1221 E Mcpherson Ave Nashville GA 31639-2326 |
| Mailing Address |
7004 Nw 52nd Ter Gainesville FL 32653-7008 |
| Practice Telephone | 2295437100 |
| Mailing Telephone | 2059072586 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |
| Authorized Official Name | PAUL HART (DIRECTOR) |
| Authorized Official Telephone | 2059072586 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1221 E MCPHERSON AVE |
| City | NASHVILLE |
| State | GA |
| Zip Code | 31639-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376586248 | Nicole L Mccants | Emergency Medicine | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2006-06-14 |
| 1043600299 | Robert Best | Physical Therapist | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2015-01-27 |
| 1932536182 | Alexandria S Anachebe | Occupational Therapist | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2013-10-02 |
| 1720329964 | Hospital Authority of Valdosta and Lowndes County, Georgia | Medicare Defined Swing Bed Unit | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2013-03-13 |
| 1174864417 | Hospital Authority of Valdosta and Lowndes County, Georgia | Psychiatric Unit | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2013-03-12 |
| 1063753689 | Hospital Authority of Valdosta and Lowndes County, Georgia | General Acute Care Hospital | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2013-03-06 |
| 1265776199 | Alyssa Kate Mcclure | Physical Therapy Assistant | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2012-11-15 |
| 1558622266 | Southland-nashville Emergency Services, LLC | Hospitalist | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2012-05-30 |
| 1639467038 | Southland-nashville Emergency Services, LLC. | Emergency Medicine | 1221 E Mcpherson Ave, Nashville, GA 31639 | 2011-07-19 |
| 1649402934 | Bch Medical Investors, LLC | Psychiatric Unit | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528297538 | Jonathan David Wade | Family Medicine | 110 S Jefferson St, Nashville, GA 31639 | 2009-07-11 |
| 1952519449 | Sherrie Lynn Williams | Social Worker | 168 Oak Ridge Dr., Nashville, GA 31639 | 2007-05-18 |
| 1467665208 | Celestine Stiles | Family Medicine | 418 E. Mcpherson Ave, Nashville, GA 31639 | 2007-05-08 |
| 1710056668 | Berrien County Board of Education Program for Exceptional Students | Local Education Agency (LEA) | 909a N Davis St., Nashville, GA 31639 | 2006-11-07 |
| 1487762852 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 207 Mcpherson St, Nashville, GA 31639 | 2006-08-27 |
| 1427081033 | Quality Homecare Inc | Durable Medical Equipment & Medical Supplies | 711 North Davis St, Nashville, GA 31639 | 2006-07-08 |
| 1619954112 | Richard E Wheeler | Family Medicine | 416a East Mcpherson Ave, Nashville, GA 31639 | 2005-12-27 |
| 1174189542 | Margaret Williams | Adult Companion | 808 Edgewood St Apt 103, Nashville, GA 31639-1177 | 2019-05-11 |
| 1922557792 | Ssss | Clinic/Center | 902 Pecan St, Nashville, GA 31639-1220 | 2016-09-22 |
| 1700378049 | David E Stidham | Nurse Practitioner | 902 Pecan St, Nashville, GA 31639-1220 | 2018-06-01 |
| Find all providers in zip 31639 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780181016 | Jacob Wilson | Emergency Medicine | 1313 21st Avenue, South, 703 Oxford House, Nashville, TN 37232-4700 | 2018-04-12 |
| 1669907325 | Stephen Lee | Emergency Medicine | 1005 Dr. D B Todd Jr. Blvd., Old Hosp. Bldg., 3rd Floor, Nashville, TN 37208-1224 | 2017-05-01 |
| 1184071870 | Basem Attum | Emergency Medicine | 128 51st Ave N, Nashville, TN 37209-3302 | 2016-05-23 |
| 1164877148 | Christine Amanda Moss | Emergency Medicine | Department of Emergency Medicine 1313 21 St Ave S, 703 Oxford House, Nashville, TN 37232-4700 | 2016-04-27 |
| 1891174116 | Todd Gledhill | Emergency Medicine | 1212 Medical Center Dr, Nashville, TN 37232 | 2015-05-19 |
| 1215344064 | Jeremy Crook | Emergency Medicine | 1313 21 St Avenue S., 703 Oxford House, Nashville, TN 37232-4700 | 2014-07-14 |
| 1578983508 | Joshua Abell | Emergency Medicine | Departement of Emergency Medicine 1313 21st Ave S, 703 Oxford House, Nashville, TN 37232-4700 | 2014-04-17 |
| 1609142967 | Amanda Meng Zhang | Emergency Medicine | 200 11th Ave N, Apt 435, Nashville, TN 37203 | 2012-03-30 |
| 1598057572 | Eugene Carlson Eiland | Emergency Medicine | 703 Oxford House, 1313 21st Avenue, South, Nashville, TN 37232-4700 | 2011-05-09 |
| 1528359908 | Kathryn Murray Kellogg | Emergency Medicine | 703 Oxford House 1313 21st Ave S, Nashville, TN 37232-0001 | 2011-04-20 |
| Find all providers in NASHVILLE | ||||
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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.