CAMDEN HEALTHCARE ASSOC INC (NPI# 1710927405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710927405 |
| Entity Type | Organization |
| Organization Name | CAMDEN HEALTHCARE ASSOC INC |
| Practice Address |
130 N Gross Rd Suite 201 Kingsland GA 31548 |
| Practice Telephone | 9127292795 |
| Practice Fax Number | 9127294117 |
| Mailing Telephone | 9127292795 |
| Mailing Fax Number | 9127294117 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SALLY D BENNETT (OWNER) |
| Authorized Official Telephone | 9127292795 |
| Authorized Official Credential | APRN BC FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
130 N GROSS RD SUITE 201 |
| City | KINGSLAND |
| State | GA |
| Zip Code | 31548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750665865 | Tonya Riley | Speech-Language Pathologist | 130 N Gross Rd, Kingsland, GA 31548-6262 | 2011-10-07 |
| 1649479536 | Jimmy Diaz Md PC | Physician Assistant | 130 N Gross Rd, Suite 202, Kingsland, GA 31548 | 2007-07-12 |
| 1164596094 | Willis R Keene Md PC | Family Medicine | 130 N Gross Rd, Suite 205, Kingsland, GA 31548 | 2006-11-20 |
| 1245304013 | Frank David Kuitems | Internal Medicine | 130 N Gross Rd, Suite 125, Kingsland, GA 31548-6262 | 2006-11-20 |
| 1033132832 | Matthew Parrish Sands | Dentist | 130 N Gross Rd, Ste.122, Kingsland, GA 31548-6262 | 2006-07-25 |
| 1336181536 | Sally D Bennett | Nurse Practitioner | 130 N Gross Rd, Ste 201, Kingsland, GA 31548 | 2006-06-12 |
| 1629018312 | Beverly A Cyphers | Nurse Practitioner | 130 N Gross Rd, Ste 201, Kingsland, GA 31548 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
| 1629536339 | The Behavior Placellc | Behavior Technician | 103 Johansen Way, Kingsland, GA 31548 | 2019-03-12 |
| 1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
| 1083086243 | Sorinity Support Services, LLC | Nurse's Aide | 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 | 2015-10-28 |
| 1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
| 1649670530 | Kimberly Grande | Physical Therapist | 100 B Lindsey Lane, Kingsland, GA 31548 | 2014-08-27 |
| 1598044307 | Margaret Peek Powell | Counselor | 100 Mariners Dr. Suite D, Kingsland, GA 31548 | 2011-08-10 |
| 1376850545 | Heavenly Devine Blessing | Home Delivered Meals | 105 North Lee Street, Kingsland, GA 31548 | 2010-09-08 |
| 1053649657 | Melissa Anne White | Nurse Practitioner | 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 | 2009-11-20 |
| 1629203690 | Genevieve Matherne | Occupational Therapist | 100b Lindsey Lane, Kingsland, GA 31548 | 2009-05-20 |
| Find all providers in zip 31548 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
| 1710143128 | Petrenia Davis-jenkins | Family Medicine | 1481 Hwy 40 E, Kingsland, GA 31548-6507 | 2008-08-05 |
| 1003076043 | Gerald Terrence O'donoghue | Family Medicine | 108 Meridian Dr, Kingsland, GA 31548-7102 | 2008-06-12 |
| 1326244435 | Noel N Chua | Family Medicine | 125 Andrews Way Ste B, Kingsland, GA 31548-6854 | 2007-06-25 |
| 1851482681 | Martha Patricia Sanchez-silva | Family Medicine | 1375 E King Ave Ste A, Kingsland, GA 31548-6831 | 2006-09-27 |
| 1700988714 | Alan E. Leifeste II | Family Medicine | 525 Rr 2900, Kingsland, TX 78639-6000 | 2006-09-01 |
| 1154303725 | Grady F Miller | Family Medicine | 105 Fm 2342, Kingsland, TX 78639-6010 | 2005-11-18 |
| 1407206527 | Ryan P Allen | Family Medicine | 105 Fm 2342, Kingsland, TX 78639-6010 | 2016-06-20 |
| 1376735597 | Abc Pediatrics and Family Care Center, P.C. | Family Medicine | 39 Andrews Way, Kingsland, GA 31548-6833 | 2007-08-11 |
| 1912115452 | Peds and Parents Family Care, LLC | Family Medicine | 124 Andrews Way, Suite B, Kingsland, GA 31548-6860 | 2007-05-18 |
| Find all providers in KINGSLAND | ||||
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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.