SOUTHLAND - LAKELAND MEDICAL SERVICES, LLC (NPI# 1821341397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821341397 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND - LAKELAND MEDICAL SERVICES, LLC |
| Practice Address |
116 W Thigpen Ave Lakeland GA 31635-1011 |
| Mailing Address |
Po Box 1276 Thomasville GA 31799-1276 |
| Practice Telephone | 2299776692 |
| Mailing Telephone | 2299776692 |
| Mailing Fax Number | 2293770058 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2017-12-26 |
| Authorized Official Name | STEPHANIE FLETCHER (CFO) |
| Authorized Official Telephone | 2292360831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
116 W THIGPEN AVE |
| City | LAKELAND |
| State | GA |
| Zip Code | 31635-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144270711 | Lanier Health Services, Inc. | General Acute Care Hospital | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2006-05-12 |
| 1548616907 | Leslie Montgomery | Physical Therapist | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2016-05-04 |
| 1154776656 | Becky Thompson | Physical Therapy Assistant | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2016-05-03 |
| 1750790465 | Stanley Ferrell Soles | Nurse Practitioner | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-08-06 |
| 1932525383 | Hospital Authority of Valdosta and Lowndes County, Georgia | Medicare Defined Swing Bed Unit | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
| 1518382217 | Hospital Authority of Valdosta and Lowndes County, Georgia | General Acute Care Hospital | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-04 |
| 1013275031 | Bruce Herrington Md PC | Internal Medicine | 116 W Thigpen Ave, Ste B, Lakeland, GA 31635-1011 | 2012-04-27 |
| 1093921629 | Lanier County Ambulance Service | Ambulance | 116 W Thigpen Ave, Lakeland, GA 31635-1006 | 2007-05-14 |
| 1215945787 | Hospital Authority of Valdosta and Lowndes County, Georgia | Pharmacy | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2006-08-03 |
| 1285675488 | Ronald Bruce Herrington | Emergency Medicine | 116 W Thigpen Ave, Suite B, Lakeland, GA 31635-1011 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730252479 | South Georgia Csb | Clinic/Center | 321 W Brantley, Lakeland, GA 31635 | 2006-11-17 |
| 1427128545 | Lanier County Board Sbs | Local Education Agency (LEA) | Hwy 221 South, Lakeland, GA 31635 | 2006-11-08 |
| 1073662805 | Deep South Ambulance Service, Inc | Ambulance | 37 Peachtree Street, Lakeland, GA 31635-0067 | 2007-01-10 |
| 1558318337 | Lanier Health Services, Inc | Nursing Facility/Intermediate Care Facility | 852 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-05-27 |
| 1649284001 | James A Harrell | Emergency Medicine | 852 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-07-28 |
| 1558775411 | Kristen Ley | Nurse Practitioner | 106 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-06-18 |
| 1194141549 | Hospital Authority of Valdosta and Lowndes County, Georgia | Nursing Facility/Intermediate Care Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
| 1083122709 | Ashley Exum | Nurse Practitioner | 106 W Thigpen Ave, Lakeland, GA 31635-1011 | 2018-01-16 |
| 1326455247 | Faith Hope & Love Christian Ministries | Clinic/Center | 106 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-07-14 |
| 1629495569 | Hospital Authority of Valdosta and Lowndes County, Georgia | Skilled Nursing Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-27 |
| Find all providers in zip 31635 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
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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.