PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. (NPI# 1821293788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821293788 |
| Entity Type | Organization |
| Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. |
| Other Organization Name | PHOEBE FAMILY MEDICAL CENTER - CAMILLA |
| Practice Address |
48 Us Highway 19 S Camilla GA 31730-1960 |
| Mailing Address |
Po Box 3109 Albany GA 31706-3109 |
| Practice Telephone | 2293365208 |
| Practice Fax Number | 2293368260 |
| Mailing Telephone | 2293125800 |
| Mailing Fax Number | 2293125853 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2014-05-30 |
| Authorized Official Name | ROBERT LAGESSE (SR VP PHYSICIAN SERVICES) |
| Authorized Official Telephone | 2293124055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000001482M | 05 | |
| GA | MEDICARE GROUP | GRP1226 | 01 |
| Other Name | Type Code |
|---|---|
| Phoebe Family Medical Center - Camilla | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871697508 | Phoebe Putney Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 427 W Third Avenue, Albany, GA 31701 | 2006-09-12 |
| 1821239765 | Phoebe Putney Memorial Hospital, Inc. | Clinic/Center | 410 Curry St Ne, Pelham, GA 31779-1457 | 2009-03-23 |
| 1336215615 | Phoebe Putney Memorial Hospital, Inc. | Ambulance | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-11-28 |
| 1013095868 | Phoebe Putney Memorial Hospital, Inc. | Ambulance | 417 W 3rd Ave, Albany, GA 31701 | 2006-11-01 |
| 1952412009 | Phoebe Putney Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2336 Dawson Rd, Suite 1100, Albany, GA 31707-2442 | 2006-08-31 |
| 1316992027 | Phoebe Putney Memorial Hospital, Inc. | Rehabilitation Unit | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-05-23 |
| 1669438404 | Phoebe Putney Memorial Hospital, Inc. | Psychiatric Unit | 417 W 3rd Ave, Albany, GA 31701 | 2006-04-21 |
| 1851356349 | Phoebe Putney Memorial Hospital, Inc. | Hospice, Inpatient | 320 Foundation Ln, Albany, GA 31707-5862 | 2006-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. | 417 W 3rd Ave, Albany, GA 31706-1943 |
| Street Address |
48 US HIGHWAY 19 S |
| City | CAMILLA |
| State | GA |
| Zip Code | 31730-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114450665 | Phoebe Primary Care of Camilla | Clinic/Center | 48 Us Highway 19 S, Camilla, GA 31730-1960 | 2017-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700310059 | Phoebe Primary Care of Camilla | Clinic/Center | 725 Us Highway 19 S, Camilla, GA 31730 | 2017-04-13 |
| 1134661028 | Montreal Biggins Sr. | Counselor | 198 South Mcarthur Drive, Camilla, GA 31730 | 2016-11-09 |
| 1447639307 | Ledora Inman | Counselor | 198 S. Mac Arthur Drive, Camila, GA 31730 | 2015-05-26 |
| 1336533652 | Southern Therapeutic Massage Studio LLC | Massage Therapist | 88 W. Broad St, Camilla, GA 31730 | 2015-03-25 |
| 1013306604 | Jamekah Brooks | Counselor | 198 S Macarthur Drive, Camilla, GA 31730 | 2015-01-20 |
| 1063811651 | Develle Miller | Counselor | 198 S. Macarthur, Camilla, GA 31730 | 2014-08-19 |
| 1679980247 | Amanda Bryant | Counselor | 198 S. Macarthur Dr., Camilla, GA 31730 | 2014-07-16 |
| 1578993945 | Ted Hall | Counselor | 218 S. Mcarthur Drive, Camilla, GA 31730 | 2013-11-20 |
| 1700216280 | Michael D Fowler I | Case Management | 198 S. Macarthur Drive, Camilla, GA 31730 | 2013-11-19 |
| 1750644753 | Sally Niazi | Pharmacist | 266 E Broad Street, Camilla, GA 31730 | 2012-06-25 |
| Find all providers in zip 31730 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437242674 | Mitchell County Hospital | Clinic/Center | 97 E Broad St, Camilla, GA 31730-1807 | 2006-10-02 |
| 1922211515 | Hospital Authority of Mitchell County | Clinic/Center | 259 Us Highway 19 North, Camilla, GA 31730-1410 | 2007-05-08 |
| 1154352458 | Hospital Authority of Mitchell County | Clinic/Center | 25 Perry St, Camilla, GA 31730-1852 | 2006-07-05 |
| 1366472003 | Hospital Authority of Mitchell County | Clinic/Center | 25 Perry St, Camilla, GA 31730-1852 | 2006-07-04 |
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| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
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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.