REGENCY HOSPITAL COMPANY OF SOUTH ATLANTA, LLC (NPI# 1750383584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750383584 |
Entity Type | Organization |
Organization Name | REGENCY HOSPITAL COMPANY OF SOUTH ATLANTA, LLC |
Other Organization Name | REGENCY HOSPITAL OF SOUTH ATLANTA |
Practice Address |
1170 Cleveland Ave Suite 217 East Point GA 30344-3615 |
Mailing Address |
4714 Gettysburg Rd Legal Dpt Mechanicsburg PA 17055-4325 |
Practice Telephone | 4044666250 |
Practice Fax Number | 4044666267 |
Mailing Telephone | 7179721100 |
Mailing Fax Number | 7179759981 |
Enumeration Date | 2005-08-11 |
Last Update Date | 2010-09-20 |
Authorized Official Name | MR. MICHAEL TARVIN (VICE PRESIDENT) |
Authorized Official Telephone | 7179721100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282E00000X | Long Term Care Hospital | HOSPL0190 | GA | Hospitals |
Other Name | Type Code |
---|---|
Regency Hospital of South Atlanta | Doing Business As Name - Organization |
Street Address |
1170 CLEVELAND AVE SUITE 217 |
City | EAST POINT |
State | GA |
Zip Code | 30344-3615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639712649 | Marlana Wise | Nurse Practitioner | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2019-10-22 |
1659838696 | Kelly L Saunders | Nurse Practitioner | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2019-02-26 |
1245795921 | Anne C Hamner | Physician Assistant | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2019-02-06 |
1376019190 | William Middleton Murphy | Physician Assistant | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2018-10-18 |
1437637063 | Hospitalist Medicine Physicians of Georgia - East Point, PC | Internal Medicine | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2018-08-06 |
1184101297 | Valencia Mitonya Covington | Registered Nurse | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2018-07-20 |
1609383512 | Zakia Boston | Specialist/Technologist, Other | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2018-01-02 |
1124556337 | Sound Physicians of Georgia IIi PC | Internal Medicine | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2017-06-01 |
1992153308 | Amy Milewski | Nurse Anesthetist, Certified Registered | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2016-05-25 |
1659733491 | Stephen Jackson | Emergency Medicine | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2016-03-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
Find all providers in zip 30344 |
Taxonomy Code | 282E00000X |
Grouping | Hospitals |
Classification | Long Term Care Hospital |
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
Notes: Source: American Hospital Association [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235598095 | Select Specialty Hospital - Midtown Atlanta, LLC | Long Term Care Hospital | 705 Juniper St Ne, Ne, Atlanta, GA 30308-1307 | 2016-02-22 |
1801269618 | Drayton Medical Care Inc | Long Term Care Hospital | 326 Nelson St Sw, Atlanta, GA 30313-1349 | 2015-11-03 |
1740452820 | Landmark Hospital of Athens, LLC | Long Term Care Hospital | 775 Sunset Drive, Athens, GA 30606 | 2008-03-28 |
1447252044 | Regency Hospital Company of Macon LLC | Long Term Care Hospital | 535 Coliseum Dr, Macon, GA 31217-0104 | 2005-08-12 |
1114928926 | Decatur Health Resources, Inc. | Long Term Care Hospital | 450 N Candler St, Decatur, GA 30030-2626 | 2005-08-02 |
1194722389 | Select Specialty Hospital - Augusta Inc | Long Term Care Hospital | 1537 Walton Way, Augusta, GA 30904-3764 | 2005-07-01 |
1720084734 | Affabilis LLC | Long Term Care Hospital | 616 19th St, Columbus, GA 31901-1528 | 2005-06-23 |
1285086579 | Lisa Ann Ruger | Long Term Care Hospital | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2016-07-11 |
1982090486 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals | Long Term Care Hospital | 6135 Roosevelt Highway, Warm Springs, GA 31830-0280 | 2015-04-10 |
1417342072 | Mercuer University School of Medicine | Long Term Care Hospital | 1550 College St, Macon, GA 31207-1500 | 2015-03-31 |
Find all providers with the same taxonomy |
City | EAST POINT |
Zip Code | 30344 |
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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.