CARL VINSON VA MEDICAL CENTER (NPI# 1760670731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760670731 |
| Entity Type | Organization |
| Organization Name | CARL VINSON VA MEDICAL CENTER |
| Practice Address |
1826 Veterans Blvd Dublin GA 31021-3620 |
| Practice Telephone | 4782721210 |
| Mailing Telephone | 4782721210 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | MS. JAN HASKINS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4782772804 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
RN082069NP | GA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619193174 | Carl Vinson Va Medical Center | General Acute Care Hospital | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2007-04-17 |
| Street Address |
1826 VETERANS BLVD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848924 | Kathleen Lindauer Greer | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2005-08-12 |
| 1396351359 | Lanira Postell | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-09-16 |
| 1780298398 | Jane Frances Helsing | Recreation Therapist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-09-01 |
| 1154931996 | Maria Danielle Hall | Speech-Language Pathologist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-08-06 |
| 1093325060 | Jessica Williams | Counselor | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-08-05 |
| 1528683083 | Jean Elizabeth Evans | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-06-10 |
| 1518581628 | Georgette Lacosta Brown | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-06-04 |
| 1760020150 | Lauren Avery | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-12-16 |
| 1285279737 | Mia Denise Pickard | Nurse Practitioner | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-11-07 |
| 1083258057 | Shannon Nayasha Johnson | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770664849 | Martin Army Hospital | Military Hospital | Tmc #5, 11th Airborne Division Road, Ft. Benning, GA 31901 | 2006-10-17 |
| 1861586778 | Martin Army Community Hospital | Military Hospital | 4025 River Rock Way, Columbus, GA 31907-1282 | 2006-10-03 |
| 1770528309 | Dept. of Veterans Affairs | Military Hospital | 1449 Stone Mill Trce, Stone Mtn, GA 30083-1526 | 2006-06-18 |
| 1588029763 | Tammy Anderson | Military Hospital | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-12-15 |
| 1326480369 | Dwight D Eisenhower Army Medical Center | Military Hospital | 300 E Hospital Rd, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905 | 2013-07-18 |
| 1831487743 | United States Army | Military Hospital | 300 W Hospital Rd, Rm7a36, Fort Gordon, GA 30905-5741 | 2011-07-12 |
| 1316273360 | Dwight D. Eisenhower Army Medical Center | Military Hospital | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2009-10-27 |
| 1962695775 | Eisenhower Army Med Cen | Military Hospital | 300 W Hospital Rd Bldg W, Fort Gordon, GA 30905-5741 | 2007-08-24 |
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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.