CURTIS V. COOPER PRIMARY HEALTH CARE INC. (NPI# 1841683067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841683067 |
| Entity Type | Organization |
| Organization Name | CURTIS V. COOPER PRIMARY HEALTH CARE INC. |
| Other Organization Name | CURTIS V. COOPER WOMEN'S HEALTH CENTER |
| Practice Address |
5354 Reynolds St Ste 420 Savannah GA 31405-6011 |
| Mailing Address |
106 E Broad St Savannah GA 31401-2917 |
| Practice Telephone | 9123556990 |
| Practice Fax Number | 9127213735 |
| Mailing Telephone | 9125271000 |
| Mailing Fax Number | 9125271126 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | EARLENE JOINER DANIELS (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 9125271088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Curtis V. Cooper Women's Health Center | Doing Business As Name - Organization |
| Curtis V. Cooper Womens Health Care center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804598 | Curtis V. Cooper Primary Health Care Inc. | Clinic/Center | 244 Ledford Street, 100, Pembroke, GA 31401-3140 | 2020-09-01 |
| Street Address |
5354 REYNOLDS ST STE 420 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750311387 | Nkenge Ayeola Jackson | Obstetrics & Gynecology | 5354 Reynolds St Ste 420, Savannah, GA 31405-6011 | 2006-07-03 |
| 1225366214 | Compassionate Care for Women, LLC | Obstetrics & Gynecology | 5354 Reynolds St Ste 420, Savannah, GA 31405-6011 | 2009-12-02 |
| 1154499978 | Reginald Jerome Robinson | Specialist | 5354 Reynolds St Ste 420, Savannah, GA 31405-6011 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1588188841 | J C Lewis Primary Health Care Center Inc | Clinic/Center | 1410 Richards St, Savannah, GA 31415-2038 | 2017-07-28 |
| 1588017412 | J C Lewis Primary Health Care Center Inc | Clinic/Center | 1110 May St, Savannah, GA 31415-5470 | 2016-07-15 |
| 1184077018 | J C Lewis Primary Health Care Center, Inc | Clinic/Center | 3100 Montgomery St, Savannah, GA 31405-3212 | 2016-07-15 |
| 1235492398 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 2121 E. Derenne Ave, Savannah, GA 31406 | 2012-06-22 |
| 1659668010 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 349 W Bryan St, Savannah, GA 31401-2356 | 2011-07-06 |
| 1003065772 | Hardin County Regional Health Center | Clinic/Center | 150 East End Drive, Savannah, TN 38372-1712 | 2008-09-17 |
| 1619167749 | Curtis V. Cooper Primary Health Care,inc | Clinic/Center | 840a Hitch Drive, Savannah, GA 31401-3040 | 2007-07-25 |
| 1316972599 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 2 Roberts Street, Savannah, GA 31408-3524 | 2006-07-12 |
| Find all providers in SAVANNAH | ||||
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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.