EFFINGHAM HOSPITAL, INC. (NPI# 1891925608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891925608 |
| Entity Type | Organization |
| Organization Name | EFFINGHAM HOSPITAL, INC. |
| Other Organization Name | EFFINGHAM FAMILY MEDICINE AT PORT WENTWORTH |
| Practice Address |
7306 Ga Highway 21 Ste 105 Port Wentworth GA 31407-9275 |
| Mailing Address |
459 Highway 119 South Attn.: Alia Allen/medical Staff Office Springfield GA 31329 |
| Practice Telephone | 9129662575 |
| Practice Fax Number | 9129660906 |
| Mailing Telephone | 9127540175 |
| Mailing Fax Number | 9127546395 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | MRS. FRANCINE BAKER-WITT (INTERIM CEO) |
| Authorized Official Telephone | 9127540142 |
| Authorized Official Credential | RN, MBA, CNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE | HOSP150 | 01 |
| Other Name | Type Code |
|---|---|
| Effingham Family Medicine at Port Wentworth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063849719 | Effingham Hospital, Inc. | Orthopaedic Surgery | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2013-09-26 |
| 1245867688 | Effingham Hospital, Inc. | Pharmacy | 459 Highway 119 S, Springfield, GA 31329-3021 | 2020-03-25 |
| 1669004966 | Effingham Hospital, Inc. | Internal Medicine | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2020-02-05 |
| 1962806257 | Effingham Hospital, Inc. | Internal Medicine | 800 Towne Park Dr Ste 100, Rincon, GA 31326-5160 | 2014-10-15 |
| 1245668417 | Effingham Hospital, Inc. | Preventive Medicine | 7306 Ga Highway 21 Ste 105, Port Wentworth, GA 31407-9275 | 2013-10-24 |
| 1083042352 | Effingham Hospital, Inc. | Urology | 110 Goshen Rd, Rincon, GA 31326-5545 | 2013-10-24 |
| 1477893857 | Effingham Hospital, Inc. | Pharmacy | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2013-02-22 |
| 1245577048 | Effingham Hospital, Inc. | Obstetrics & Gynecology | 1451 Highway 21 S Ste H, Springfield, GA 31329-5244 | 2013-01-14 |
| 1851696710 | Effingham Hospital, Inc. | Preventive Medicine | 110 Goshen Rd, Rincon, GA 31326-5545 | 2011-01-24 |
| 1750686382 | Effingham Hospital, Inc. | Family Medicine | 1451 Highway 21 S, Ste H, Springfield, GA 31329-5244 | 2011-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EFFINGHAM HOSPITAL, INC. | 459 Ga Highway 119 S, Springfield, GA 31329-3021 |
| Street Address |
7306 GA HIGHWAY 21 STE 105 |
| City | PORT WENTWORTH |
| State | GA |
| Zip Code | 31407-9275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184895930 | Kenneith Durden | Counselor | 7306 Ga Highway 21, Ste 101-225, Port Wentworth, GA 31407-9274 | 2008-03-20 |
| 1558724047 | Family and Children Support, Inc | Counselor | 7306 Ga Highway 21, Ste 101-270, Port Wentworth, GA 31407-9274 | 2016-04-01 |
| 1679980668 | Heather N Bumgardner | Nurse Practitioner | 7306 Ga Highway 21, Suite 106, Port Wentworth, GA 31407-9274 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295969228 | Kurt Singh Kang | Internal Medicine | 101 W Mulberry Blvd Ste 100, Savannah, GA 31407 | 2009-05-05 |
| 1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
| 1861038044 | Mara Dawne Carson | Nurse Practitioner | 1515 Benton Blvd Apt 1328, Savannah, GA 31407-0440 | 2019-11-21 |
| 1831620087 | Pharmdixon Consulting LLC | Pharmacy | 2155 Benton Blvd, 13203, Savannah, GA 31407-0491 | 2017-03-21 |
| 1033610415 | Derrick Jackson Thomas | Specialist/Technologist | 1 Bonnybridge Rd, Savannah, GA 31407-1312 | 2018-02-22 |
| 1043209240 | Westview Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2005-10-19 |
| 1922575679 | Pruitthealth - Seaside, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2018-10-31 |
| 1477060705 | Benjamin Lane Richey | Behavior Technician | 204 Turnberry St, Port Wentworth, GA 31407-1925 | 2018-01-09 |
| 1538772363 | Marian Marshall | Social Worker | 117 Whitehavven Rd, Savannah, GA 31407-3140 | 2020-08-31 |
| 1699120410 | Dr Kenneith Durden Outreach | Counselor | 41 Moonlight Trl, Port Wentworth, GA 31407-3321 | 2016-04-29 |
| Find all providers in zip 31407 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
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| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | PORT WENTWORTH |
| Zip Code | 31407 |
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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.