SOUTHWEST GEORGIA ORTHOPEDIC & SPORTS MEDICINE CENTER, INC. (NPI# 1891724985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891724985 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST GEORGIA ORTHOPEDIC & SPORTS MEDICINE CENTER, INC. |
| Practice Address |
2709 Meredyth Dr Suite 450 Albany GA 31707-0222 |
| Practice Telephone | 2298890018 |
| Practice Fax Number | 2298898832 |
| Mailing Telephone | 2298890018 |
| Mailing Fax Number | 2298898832 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MS. ELIZABETH D SPINDLER (ADMINISTRATOR) |
| Authorized Official Telephone | 2298890018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | GA | Other Service Providers |
| Street Address |
2709 MEREDYTH DR SUITE 450 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-0222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919438 | James A. Rooney | Dermatology | 2709 Meredyth Dr, Suite 340, Albany, GA 31707-0222 | 2005-08-23 |
| 1164883831 | Michael Brandon Ross | Physical Therapist | 2709 Meredyth Dr, Albany, GA 31707-0222 | 2016-03-09 |
| 1417377912 | Jordan Knoefler | Family Medicine | 2709 Meredyth Dr, Albany, GA 31707-0222 | 2014-04-23 |
| 1831442888 | Lesa Beach | Nurse Practitioner | 2709 Meredyth Dr, Ste 230, Albany, GA 31707-0222 | 2012-10-16 |
| 1407108756 | Brandon Arch Glow | Physician Assistant | 2709 Meredyth Dr, Ste 450, Albany, GA 31707-0222 | 2012-10-11 |
| 1447571294 | Meredith Mckee Koomson | Internal Medicine | 2709 Meredyth Dr, Suite 330, Albany, GA 31707-0222 | 2010-06-16 |
| 1407176647 | Phoebe Neurology | Psychiatry & Neurology | 2709 Meredyth Dr, Ste 230, Albany, GA 31707-0218 | 2010-06-10 |
| 1336261205 | Berg Eye Center, P. C. | Durable Medical Equipment & Medical Supplies | 2709 Meredyth Dr, Suite 110 One Meredyth Place, Albany, GA 31707-0201 | 2007-04-04 |
| 1003974809 | Southwest Georgia Neurology, P.C. | Psychiatry & Neurology | 2709 Meredyth Dr, Suite 230, Albany, GA 31707-0222 | 2006-12-05 |
| 1598859373 | Bridget T Milani | Physical Therapist | 2709 Meredyth Dr, Suite 450, Albany, GA 31707-0222 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114428141 | Johnae Patrice Galloway | Specialist | 600 New Scotland Ave, Albany, NY 12208-1928 | 2018-02-25 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1457703217 | Rebecca Burke | Specialist | 113 Krumkill Rd, Albany, NY 12208-1249 | 2016-07-05 |
| 1639535933 | Emily Soule | Specialist | 687 Myrtle Ave, Apt 1, Albany, NY 12208-3711 | 2016-01-04 |
| 1891163903 | Anca Rabinowitz | Specialist | 22a Old Hickory Dr, Apt.2a, Albany, NY 12204-1137 | 2015-09-04 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1700226792 | Jeffrey Sansobrino | Specialist | 1 Rapp Rd # 1, Albany, NY 12203-4491 | 2013-07-05 |
| 1306186739 | Kate Ireland Panza | Specialist | 29 Krug Ct, Albany, NY 12211-1914 | 2013-02-21 |
| 1992045470 | Maryjo Aidala | Specialist | 1658 Central Ave, Albany, NY 12205-4029 | 2013-02-21 |
| Find all providers in ALBANY | ||||
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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.