RABUN MEDICAL CENTER, LLC (NPI# 1740310614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740310614 |
| Entity Type | Organization |
| Organization Name | RABUN MEDICAL CENTER, LLC |
| Other Organization Name | RABUN MEDICAL CLINIC, PC |
| Practice Address |
773 N Main St Clayton GA 30525-4257 |
| Mailing Address |
Po Box 906 Clayton GA 30525-0023 |
| Practice Telephone | 7067820468 |
| Practice Fax Number | 7067821488 |
| Mailing Telephone | 7067820468 |
| Mailing Fax Number | 7067821488 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-05-06 |
| Authorized Official Name | M. KATHY EASTERLING (PRESIDENT) |
| Authorized Official Telephone | 7067820468 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 051960 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 051960 | GA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 027807 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 716351517A | 05 |
| Other Name | Type Code |
|---|---|
| Rabun Medical Clinic, PC | Former Legal Business Name - Organization |
| Street Address |
773 N MAIN ST |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-4257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124525183 | Medlink Georgia, Inc | Clinic/Center | 773 N Main St, Clayton, GA 30525-4257 | 2018-04-06 |
| 1356602205 | Inmed Clinical Services LLC | General Practice | 773 N Main St, Clayton, GA 30525-4257 | 2012-06-06 |
| 1366687774 | Robin Lee Line | General Practice | 773 N Main St, Clayton, GA 30525-4257 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053413690 | Ambrous O Findley Jr. | General Practice | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2006-09-03 |
| 1285677492 | Carl Louis Schopfer | General Practice | 115 S Delsea Dr, Clayton, NJ 08312-1913 | 2006-06-14 |
| 1013919034 | Mark Edward Van Wormer | General Practice | 314 N 3rd Ave, Clayton, NM 88415-3302 | 2005-08-10 |
| 1356602205 | Inmed Clinical Services LLC | General Practice | 773 N Main St, Clayton, GA 30525-4257 | 2012-06-06 |
| 1366687774 | Robin Lee Line | General Practice | 773 N Main St, Clayton, GA 30525-4257 | 2008-12-15 |
| 1629141296 | Cameron Luther Perkins | General Practice | 11491 Us Highway 70 W, Clayton, NC 27520-2207 | 2006-11-15 |
| 1104912096 | Clayton Urgent Care and Family Clinic Pa | General Practice | 11491 Us Highway 70 W, Clayton, NC 27520 | 2006-10-05 |
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| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
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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.