BACON COUNTY HEALTH SERVICES, INC (NPI# 1821017831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821017831 |
| Entity Type | Organization |
| Organization Name | BACON COUNTY HEALTH SERVICES, INC |
| Other Organization Name | BACON COUNTY RURAL HEALTH CLINIC |
| Practice Address |
204 E 15th St Alma GA 31510-2908 |
| Practice Telephone | 9126322952 |
| Practice Fax Number | 9126328682 |
| Mailing Telephone | 9126322952 |
| Mailing Fax Number | 9126328682 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | MS. MELISSA FIVEASH (OFFICE MANAGER/DIRECTOR) |
| Authorized Official Telephone | 9126322952 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | OSCAR NUMBER | 113408 | 01 |
| GA | 000000118C | 05 |
| Other Name | Type Code |
|---|---|
| Bacon County Rural Health Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BACON COUNTY HEALTH SERVICES, INC. | 302 S Wayne St, Alma, GA 31510-2922 |
| Street Address |
204 E 15TH ST |
| City | ALMA |
| State | GA |
| Zip Code | 31510-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760433304 | Khaldon A Al Saadi | Surgery | 204 E 15th St, Alma, GA 31510-2908 | 2006-05-16 |
| 1467085217 | Janna Mullis Moody | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2020-02-20 |
| 1952836504 | Crh Physician Practices, LLC | Surgery | 204 E 15th St, Alma, GA 31510-2908 | 2017-04-20 |
| 1558808626 | Sheryl Turner Cox | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2017-01-26 |
| 1518318054 | Neha Kakkar | Internal Medicine | 204 E 15th St, Alma, GA 31510 | 2016-06-27 |
| 1912358755 | Ian Furtado | Family Medicine | 204 E 15th St, Alma, GA 31510-2908 | 2016-06-22 |
| 1093180481 | Kymberly D Anderson | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2015-12-10 |
| 1336560952 | South Georgia Physicians Group, LLC | Surgery | 204 E 15th St, Alma, GA 31510 | 2013-12-27 |
| 1689935306 | South Georgia Primary Care, Inc. | Family Medicine | 204 E 15th St, Alma, GA 31510-2908 | 2012-05-30 |
| 1366769457 | Gabor Kovacs Md, LLC | Specialist | 204 E 15th St, Alma, GA 31510-2908 | 2010-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693407 | Shepard Therapy Center | Occupational Therapist | 139 Ga Highway 32 Byp, Alma, GA 31510 | 2019-11-13 |
| 1760027320 | Sean Shepard | Physical Therapist | 139 Ga Hwy 32 Bypass, Alma, GA 31510 | 2019-11-07 |
| 1043875586 | Tricare Ambulance Service L.L.C. | Ambulance | 172 Pine Hollow Ln, Alma, GA 31510 | 2019-05-09 |
| 1053806299 | Eva Fedd | Counselor | 901 North Pierce St, Alma, GA 31510 | 2018-06-29 |
| 1730570268 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1041 S Us Highway 1, Alma, GA 31510 | 2015-02-05 |
| 1356475644 | Bacon County Family Medicine, LLC | Family Medicine | 205 South Wayne Street, Alma, GA 31510 | 2007-03-16 |
| 1720124043 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 1835 W 12th Street, Alma, GA 31510 | 2007-01-30 |
| 1891832952 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Quart Douglas Road, Alma, GA 31510 | 2007-01-30 |
| 1992899082 | George Joel Williams Jr. | Dentist | 408 E 16th St, George J Williams Dds, Alma, GA 31510 | 2006-10-03 |
| 1093829343 | Charles E Bagley Mdpc | Family Medicine | 210 E 16th Street, Alma, GA 31510 | 2006-08-17 |
| Find all providers in zip 31510 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972969160 | Debra D Rathbun | General Acute Care Hospital | 192 Lobinger Ave, Fitzgerald, GA 31750-8181 | 2016-01-05 |
| 1326304486 | Ty Cobb Regional Medical Center LLC | General Acute Care Hospital | 367 Clear Creek Parkway, Lavonia, GA 30553 | 2012-04-03 |
| 1053400689 | Bacon Co. Health Services, Inc. | General Acute Care Hospital | 3406 Wildwood Ave., Patterson, GA 31557-5065 | 2006-10-12 |
| 1518051556 | Eugene Suarez Rodillo | General Acute Care Hospital | 111 South Webb Street, Hartwell, GA 30643 | 2006-10-03 |
| 1245248624 | Hospital Authority of Ben Hill | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-08-03 |
| 1700851649 | Crisp Regional Hospital Inc | General Acute Care Hospital | 902 7th St North, Cordele, GA 31010 | 2006-02-22 |
| 1558334334 | Mayo Clinic Health System In Waycross, Inc | General Acute Care Hospital | 1900 Tebeau Street, Waycross, GA 31501 | 2006-02-10 |
| 1588646251 | Wheeler County Hospital | General Acute Care Hospital | 111 N Third St, Glenwood, GA 30428-2301 | 2005-11-17 |
| 1952395097 | Southern Health Corp of Ellijay | General Acute Care Hospital | 1362 S Main St, 822 Industrial Blvd; 60 Old Highway 5 South, Ellijay, GA 30540-5410 | 2005-09-05 |
| 1588661672 | Americus & Sumter County Hospital Authority | General Acute Care Hospital | 100 Wheatley Dr, Americus, GA 31709-3788 | 2005-07-05 |
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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.