SATILLA RELIANT PSYCHIATRIC SERVICES, LLC (NPI# 1851454086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851454086 |
| Entity Type | Organization |
| Organization Name | SATILLA RELIANT PSYCHIATRIC SERVICES, LLC |
| Other Organization Name | SATILLA REGIONAL CENTER FOR MEMORY DISORDERS |
| Practice Address |
410 Darling Ave Waycross GA 31501-5246 |
| Mailing Address |
6 Office Park Cir Suite 100 Birmingham AL 35223-2512 |
| Practice Telephone | 9123386338 |
| Mailing Telephone | 2053130445 |
| Mailing Fax Number | 2053136545 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | JAMES T HARPER (OWNER) |
| Authorized Official Telephone | 2053130445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Satilla Regional Center for Memory Disorders | Doing Business As Name - Organization |
| Street Address |
410 DARLING AVE |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486904 | Pathology Associates of Waycross | Pathology | 410 Darling Ave, Waycross, GA 31501-5246 | 2005-09-05 |
| 1780056648 | Hot Springs Emergency Physicians, LLC | Physician Assistant | 410 Darling Ave, Waycross, GA 31501-5246 | 2015-10-30 |
| 1528345352 | Benjamin Randolph Wheeler | Pharmacist | 410 Darling Ave, Waycross, GA 31501-5246 | 2011-11-08 |
| 1821387408 | Amy Marie Harper | Nurse Anesthetist, Certified Registered | 410 Darling Ave, Dept of Anesthesia, Waycross, GA 31501-5246 | 2011-04-04 |
| 1821305590 | Lois Elaine Thornton | Nurse Practitioner | 410 Darling Ave, Waycross, GA 31501-5246 | 2010-09-01 |
| 1730412990 | Andy M Martin | Nurse Anesthetist, Certified Registered | 410 Darling Ave, Dept of Anesthesia, Waycross, GA 31501-5246 | 2009-09-04 |
| 1548400013 | Oladotun Akintomide | Anesthesiologist Assistant | 410 Darling Ave, Dept of Anesthesia, Waycross, GA 31501-5246 | 2009-02-24 |
| 1225287634 | David James Drolte | Anesthesiologist Assistant | 410 Darling Ave, Dept of Anesthesia, Waycross, GA 31501-5246 | 2008-09-10 |
| 1275710683 | John Franklin Jacobs | Physician Assistant | 410 Darling Ave, Waycross, GA 31501-5246 | 2008-01-28 |
| 1609086693 | Mary Carolyn Linder | Nurse Anesthetist, Certified Registered | 410 Darling Ave, Waycross, GA 31501-5246 | 2007-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093248486 | Southeast Georgia Health Services, L.L.C. | Psychiatric Unit | 1900 Tebeau St, Waycross, GA 31501-6357 | 2017-04-04 |
| 1285796839 | Mayo Clinic Health System In Waycross, Inc. | Psychiatric Unit | 1900 Tebeau Street, Waycross, GA 31501 | 2006-12-13 |
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| 1922230648 | Peachstate Psychiatric Services, Inc. | Psychiatric Unit | 1720 Peachtree St Nw Ste 640, Atlanta, GA 30309-2450 | 2009-08-13 |
| 1982634572 | Gwinnett Hospital System, Inc. | Psychiatric Unit | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2006-07-03 |
| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| 1023057775 | Floyd Healthcare Management Inc | Psychiatric Unit | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2006-06-06 |
| 1760436810 | Coliseum Medical Center, LLC | Psychiatric Unit | 340 Hospital Drive, Macon, GA 31217 | 2006-05-22 |
| 1902453111 | Sedzer Health LLC | Psychiatric Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-08-22 |
| 1578026431 | South Atlanta Psychiatry LLC | Psychiatric Unit | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2019-04-08 |
| 1518440254 | Prime Healthcare Foundation - Southern Regional, LLC | Psychiatric Unit | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-09-10 |
| 1831602903 | Savannah Health Services, LLC | Psychiatric Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-13 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
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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.