JENKINS COUNTY HOSPITAL LLC (NPI# 1821308834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821308834 |
| Entity Type | Organization |
| Organization Name | JENKINS COUNTY HOSPITAL LLC |
| Other Organization Name | OPTIM SURGICAL ASSOCIATES - STATESBORO |
| Practice Address |
16915 Highway 67 Suite A Statesboro GA 30458-5819 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 9126812500 |
| Practice Fax Number | 9126445260 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | MICHAEL W KLEINPETER (CEO) |
| Authorized Official Telephone | 9126445300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Optim Surgical Associates - Statesboro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346510542 | Jenkins County Hospital LLC | Orthopaedic Surgery | 16915 Hwy 27 South, Suite A, Statesboro, GA 30458 | 2012-01-04 |
| 1811264625 | Jenkins County Hospital LLC | Orthopaedic Surgery | 209a Mims Rd, Sylvania, GA 30467-1994 | 2011-11-22 |
| 1063722924 | Jenkins County Hospital LLC | Surgery | 115 Gillikin St, Twin City, GA 30471-3989 | 2010-10-13 |
| 1417225020 | Jenkins County Hospital LLC | Orthopaedic Surgery | 960 College Ave, Millen, GA 30442-1634 | 2011-12-09 |
| 1275800088 | Jenkins County Hospital LLC | Orthopaedic Surgery | 620 Sparta Rd, Sandersville, GA 31082-1803 | 2011-11-22 |
| 1225333263 | Jenkins County Hospital LLC | Internal Medicine | 532 College Ave, Millen, GA 30442-1602 | 2011-01-24 |
| 1497064679 | Jenkins County Hospital LLC | General Acute Care Hospital | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2010-10-05 |
| 1124337308 | Jenkins County Hospital LLC | Medicare Defined Swing Bed Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2010-10-05 |
| Street Address |
16915 HIGHWAY 67 SUITE A |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376717819 | Bryan K. Sowell | Physical Therapist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2008-04-16 |
| 1134670771 | Kelcie Walker | Occupational Therapist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2016-10-19 |
| 1669826194 | Tattnall Hospital Company LLC | Physical Therapist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2016-04-21 |
| 1801280664 | Optim Orthopedics, LLC | Orthopaedic Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2015-03-19 |
| 1326310772 | Costrini & Meadows, PC | Internal Medicine | 16915 Highway 67, Statesboro, GA 30458-5819 | 2012-02-01 |
| 1598033102 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2011-12-09 |
| 1124303177 | Screven County Family Health Center, LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2011-10-20 |
| 1477860906 | Jenkins County Hospital | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-09-03 |
| 1699004903 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2009-12-15 |
| 1104060987 | Tattnall Hospital Company, LLC | Radiologic Technologist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2009-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073707436 | Shiloh Wound Care PC | Surgery | 1497 Fair Rd Ste 103, Statesboro, GA 30458-0823 | 2007-08-29 |
| 1699719179 | Kenneth Brian Walton | Surgery | 1058 Bermuda Run Road, Statesboro, GA 30458-0858 | 2006-06-15 |
| 1801866322 | Raul Nelson Lugo | Surgery | 1058 Bermuda Run, Statesboro, GA 30458-0858 | 2006-01-25 |
| 1124303177 | Screven County Family Health Center, LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2011-10-20 |
| 1477860906 | Jenkins County Hospital | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-09-03 |
| 1487983151 | East Georgia Hma Physician Management, LLC | Surgery | 1497 Fair Rd, Statesboro, GA 30458-0822 | 2009-12-09 |
| 1548420599 | Rebecca Marie Spahos | Surgery | 1058 Bermuda Run Road, Statesboro, GA 30458-0858 | 2008-06-12 |
| 1548448418 | Jean-claude David Schwartz | Surgery | 1058 Bermuda Run Road, Statesboro, GA 30458 | 2008-02-04 |
| 1316016819 | John Edward Martin Sr. | Surgery | 1497 Fair Rd, Suite 103, Statesboro, GA 30458-0822 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
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| City | STATESBORO |
| Zip Code | 30458 |
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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.