PORT CITY PULMONARY CARE, INC. (NPI# 1841350790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841350790 |
| Entity Type | Organization |
| Organization Name | PORT CITY PULMONARY CARE, INC. |
| Practice Address |
1500 E Shotwell St Bainbridge GA 39819-4256 |
| Practice Telephone | 2292463500 |
| Practice Fax Number | 2292468142 |
| Mailing Telephone | 2292463500 |
| Mailing Fax Number | 2292468142 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ED NEWTON (CEO) |
| Authorized Official Telephone | 2292463500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 20012275392 | GA | Suppliers |
| Street Address |
1500 E SHOTWELL ST |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39819-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623399 | Ellen King | Pharmacist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2005-07-19 |
| 1518430552 | Paula Adams | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2019-01-02 |
| 1851884068 | Zacharey Alan Powell | Family Medicine | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2018-06-12 |
| 1992224265 | Decatur Emergency Physicians LLC | Emergency Medicine | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2017-09-18 |
| 1720515075 | Keller Williams Galpin | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2017-05-17 |
| 1356735336 | Southland Bainbridge Hospitalist Group, LLC | Hospitalist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2015-03-27 |
| 1770981086 | Katherine T Kelley | Nurse Anesthetist, Certified Registered | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2014-12-18 |
| 1073935243 | Ginger Spence | Pharmacist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2014-01-07 |
| 1144569484 | Gregory Daryl Hall | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2013-02-06 |
| 1275806085 | Sumalee Watson | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2012-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
| 1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
| 1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
| 1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
| 1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
| 1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
| 1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
| 1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
| Find all providers in zip 39819 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588859888 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1410 E Shotwell St, Bainbridge, GA 39819-4254 | 2007-09-10 |
| 1104836493 | Bainbridge Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1420 E Evans St, Bainbridge, GA 39819-4336 | 2006-08-09 |
| 1336124650 | David Bame Jr | Durable Medical Equipment & Medical Supplies | 160 County Road 38, Bainbridge, NY 13733-3377 | 2005-12-09 |
| 1548798887 | Onesource Healthcare Group, LLC | Durable Medical Equipment & Medical Supplies | 406 S West St, Bainbridge, GA 39819-3918 | 2017-05-31 |
| 1275794927 | Bainbridge Home Medical, LLC | Durable Medical Equipment & Medical Supplies | 1420 E Evans St, Bainbridge, GA 39819-4336 | 2008-06-24 |
| 1659411346 | Rls Inc | Durable Medical Equipment & Medical Supplies | 823 S Scott St, Bainbridge, GA 39819-8702 | 2007-02-08 |
| 1801901723 | Hospital Authority of The City of Bainbridge and Decatur County | Durable Medical Equipment & Medical Supplies | 603 Wheat Ave, Bainbridge, GA 39819-4360 | 2006-08-20 |
| 1194735720 | Knisley Pharmacy Limited | Durable Medical Equipment & Medical Supplies | 115 E Main St, Bainbridge, OH 45612-1102 | 2006-08-08 |
| 1356368690 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 500 E Alice St, Bainbridge, GA 39819-4998 | 2006-07-16 |
| 1891755146 | Rls, Inc | Durable Medical Equipment & Medical Supplies | 823 S Scott St, Bainbridge, GA 39819-8702 | 2006-03-23 |
| Find all providers in BAINBRIDGE | ||||
| City | BAINBRIDGE |
| Zip Code | 39819 |
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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.