DODGE COUNTY HOSPITAL AUTHORITY (NPI# 1851682538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851682538 |
| Entity Type | Organization |
| Organization Name | DODGE COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | MIDDLE GEORGIA MEDICAL CLINIC |
| Practice Address |
1112 Plaza Ave Suite B Eastman GA 31023-9009 |
| Mailing Address |
Po Box 4128 Eastman GA 31023-4128 |
| Practice Telephone | 4783747801 |
| Practice Fax Number | 4783747878 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-11-22 |
| Authorized Official Name | KEVIN L BIERSCHENK (CEO) |
| Authorized Official Telephone | 4784484054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Middle Georgia Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272095 | Dodge County Hospital Authority | Medicare Defined Swing Bed Unit | 901 Griffin Ave, Eastman, GA 31023-6720 | 2005-08-22 |
| 1255948717 | Dodge County Hospital Authority | Family Medicine | 1112 Plaza Ave Ste B, Eastman, GA 31023-9012 | 2020-09-29 |
| 1356982938 | Dodge County Hospital Authority | Pharmacy | 901 Griffin Ave, Eastman, GA 31023-6720 | 2019-10-04 |
| 1881010239 | Dodge County Hospital Authority | Psychiatric Unit | 901 Griffin Ave, Eastman, GA 31023-6720 | 2014-03-10 |
| 1831490895 | Dodge County Hospital Authority | Clinic/Center | 911 Plaza Ave, Eastman, GA 31023-6785 | 2010-11-08 |
| 1861793952 | Dodge County Hospital Authority | Clinic/Center | 725 Legion Dr, Eastman, GA 31023-6780 | 2010-11-05 |
| 1417173956 | Dodge County Hospital Authority | Specialist | 901 Griffin Ave, Eastman, GA 31023-6720 | 2007-04-17 |
| Street Address |
1112 PLAZA AVE SUITE B |
| City | EASTMAN |
| State | GA |
| Zip Code | 31023-9009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003817172 | Lucretia Renee Barker | Obstetrics & Gynecology | 1112 Plaza Ave, Eastman, GA 31023-9009 | 2005-08-10 |
| 1477838381 | Ronda Sanders | Speech-Language Pathologist | 1112 Plaza Ave, Suite A, Eastman, GA 31023-9009 | 2011-10-12 |
| 1235396508 | Chandler Womens Health Center | Obstetrics & Gynecology | 1112 Plaza Ave, Eastman, GA 31023-9009 | 2008-05-22 |
| 1275736100 | John A. Glenn Jr. Center for Community Healthcare Inc. | Family Medicine | 1112 Plaza Ave, Suite C, Eastman, GA 31023-9009 | 2007-06-07 |
| 1902009194 | Southern Family Healthcare of Eastman Inc | Family Medicine | 1112 Plaza Ave, Suite C, Eastman, GA 31023-9009 | 2007-06-06 |
| 1831311166 | Lou R. Barker M.d., P.C. | Obstetrics & Gynecology | 1112 Plaza Ave, Ste B, Eastman, GA 31023-9009 | 2007-05-03 |
| 1629037973 | Naabea Enin | Obstetrics & Gynecology | 1112 Plaza Ave, Suite B, Eastman, GA 31023-9009 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 1174832232 | Lynetta Davies | Counselor | 17 Tanner Dr, Eastmon, GA 31023 | 2010-10-06 |
| 1467774380 | Dustin Phillip Smith | Chiropractor | 285 Plaza Avenue, Eastman, GA 31023 | 2010-02-19 |
| 1639311145 | D&b Home Care Inc | Durable Medical Equipment & Medical Supplies | 714 Medical Center Drive, Eastman, GA 31023 | 2009-03-30 |
| 1427273465 | Hospice Care Options Inc | Hospice Care, Community Based | 715 Legion Dr, Eastman, GA 31023 | 2007-04-16 |
| 1740318625 | Dana W Mullis | Dentist | 1003 Plaza Ave, Eastman, GA 31023 | 2007-03-01 |
| 1285787630 | 801 Legion LLC | Skilled Nursing Facility | 815 Legion Dr, Eastman, GA 31023 | 2007-01-19 |
| 1396813317 | Womens Health PC | Obstetrics & Gynecology | 821 Plaza Ave, Suite B, Eastman, GA 31023 | 2006-11-30 |
| 1932294170 | John D Roberts | Ophthalmology | 917 Plaza Avenue, Eastman, GA 31023 | 2006-10-04 |
| 1215030978 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 535 Oak St, Eastman, GA 31023 | 2006-09-07 |
| Find all providers in zip 31023 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003817172 | Lucretia Renee Barker | Obstetrics & Gynecology | 1112 Plaza Ave, Eastman, GA 31023-9009 | 2005-08-10 |
| 1235396508 | Chandler Womens Health Center | Obstetrics & Gynecology | 1112 Plaza Ave, Eastman, GA 31023-9009 | 2008-05-22 |
| 1831311166 | Lou R. Barker M.d., P.C. | Obstetrics & Gynecology | 1112 Plaza Ave, Ste B, Eastman, GA 31023-9009 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794001 | Stephanie Stokes | Obstetrics & Gynecology | 1120 15th St Ste Ba-7300, Augusta, GA 30912-0004 | 2020-06-11 |
| 1346865839 | Teodora Stoikov | Obstetrics & Gynecology | 1120 15th St # Ba-7411, Augusta, GA 30912-0004 | 2020-06-10 |
| 1477185221 | Metro Health and Wellness, LLC | Obstetrics & Gynecology | 2950 Stone Hogan Connector Rd Sw Bldg B, Atlanta, GA 30331-2837 | 2020-02-10 |
| 1437707783 | One Health Research Clinic Atlanta LLC | Obstetrics & Gynecology | 5880 Live Oak Pkwy Ste 160, Norcross, GA 30093-1742 | 2019-08-29 |
| 1528627650 | Suellen Anizia Romero De Mello Sa | Obstetrics & Gynecology | 1120 15th St # Ba-7310, Augusta, GA 30912-0004 | 2019-06-12 |
| 1457910069 | Taylor Mitchell Jones | Obstetrics & Gynecology | 1120 15th St # Ba-7300, Augusta, GA 30912-3300 | 2019-06-07 |
| 1871156687 | Alexandra Poch | Obstetrics & Gynecology | 1120 15th St # Ba7300, Augusta, GA 30912-0004 | 2019-04-17 |
| 1912485830 | Hilton Head Regional Physician Network - Georgia, LLC | Obstetrics & Gynecology | 1000 Towne Center Blvd Ste 604b, Pooler, GA 31322-4052 | 2018-08-02 |
| 1003302852 | Louis Wayne Goolsby | Obstetrics & Gynecology | 6605 Britt Rd, Macon, GA 31216-6031 | 2018-07-05 |
| 1508356395 | Hospital Authority of Liberty County | Obstetrics & Gynecology | 455 S Main St Ste 202, Hinesville, GA 31313-4354 | 2018-05-16 |
| Find all providers with the same taxonomy | ||||
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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.