HOSPITAL AUTHORITY OF CANDLER COUNTY (NPI# 1902369770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902369770 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF CANDLER COUNTY |
| Practice Address |
400 Cedar St Metter GA 30439-3338 |
| Practice Telephone | 9126855741 |
| Mailing Telephone | 9126855741 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | DEBORAH DRIGGERS (CREDENTIAL COORDINATOR) |
| Authorized Official Telephone | 4782891303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Candler County Emergency Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598056988 | Hospital Authority of Candler County | Family Medicine | 415 Cedar St, Metter, GA 30439-3339 | 2011-04-20 |
| 1790888089 | Hospital Authority of Candler County | General Acute Care Hospital | 400 Cedar Street, Metter, GA 30439-3706 | 2006-09-05 |
| 1831728005 | Hospital Authority of Candler County | Clinic/Center | 380 Sconyers St, Metter, GA 30439-3261 | 2020-04-08 |
| 1790088169 | Hospital Authority of Candler County | Family Medicine | 380 Cedar St, Metter, GA 30439-4042 | 2010-12-07 |
| 1588868947 | Hospital Authority of Candler County | Medicare Defined Swing Bed Unit | 400 Cedar St, Metter, GA 30439-3338 | 2007-06-12 |
| Street Address |
400 CEDAR ST |
| City | METTER |
| State | GA |
| Zip Code | 30439-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447798087 | Nicole Adkison | Physical Therapy Assistant | 400 Cedar St, Metter, GA 30439-3338 | 2017-02-02 |
| 1710423587 | Ashley Adams | Physical Therapy Assistant | 400 Cedar St, Metter, GA 30439-3338 | 2017-01-17 |
| 1821531005 | Jessica Hendrix | Specialist | 400 Cedar St, Metter, GA 30439-3338 | 2016-11-21 |
| 1295128064 | Cch Physician Group, LLC | Emergency Medicine | 400 Cedar St, Metter, GA 30439-3338 | 2015-03-18 |
| 1821426370 | Rmr IIi Consulting Inc | Nurse Anesthetist, Certified Registered | 400 Cedar St, Metter, GA 30439-3338 | 2013-10-21 |
| 1437430253 | Candler Emergency Group, LLC | Physician Assistant | 400 Cedar St, Metter, GA 30439-3338 | 2011-09-07 |
| 1942434535 | Daniel Frederick Jung | Emergency Medicine | 400 Cedar St, Metter, GA 30439-3338 | 2009-05-11 |
| 1255594065 | Erin Rebecca Tanner | Internal Medicine | 400 Cedar St, Metter, GA 30439-3338 | 2008-07-02 |
| 1588868947 | Hospital Authority of Candler County | Medicare Defined Swing Bed Unit | 400 Cedar St, Metter, GA 30439-3338 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285132415 | Tattnall Hospital Company, LLC | Family Medicine | 380a Cedar St, Metter, GA 30439 | 2018-01-23 |
| 1356718050 | Fred's Stores of Tennessee Inc | Pharmacy | 978 Ga Highway 46 E., Metter, GA 30439 | 2015-08-28 |
| 1235548447 | Southern Home Care Services, Inc. | In Home Supportive Care | 11 South Roundtree St, Metter, GA 30439 | 2014-08-13 |
| 1013261312 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 8. North Williams Street, Metter, GA 30439 | 2012-11-08 |
| 1598913394 | Julie Marshall Karpinsky | Nurse's Aide | 4830 White Way Circle, Metter, GA 30439 | 2008-09-04 |
| 1578623955 | Mary H. Jackson | Counselor | Route 1, Metter, GA 30439 | 2006-12-08 |
| 1467538454 | Cheryl Rogers Allen | Pharmacist | 19 North Broad Sreet, Metter, GA 30439 | 2006-10-31 |
| 1407963853 | William W Clance Dmd PC | Dentist | 500 N Lewis St, Metter, GA 30439 | 2006-08-23 |
| 1568482644 | R Gary Branch | Family Medicine | 10 Doctors Street, Metter, GA 30439 | 2006-07-20 |
| 1093973406 | John Robert Bowen Jr. | Pharmacist | 745 S Lewis St, Metter, GA 30439 | 2008-06-02 |
| Find all providers in zip 30439 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675956 | Nextgen Ems LLC | Emergency Medicine | 121 Tyre Dr, Mcdonough, GA 30253-8542 | 2020-09-29 |
| 1710506233 | Rita Udom | Emergency Medicine | 2795 Davis Rd, Marietta, GA 30062-6670 | 2020-04-14 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1831539253 | Andrew Wesley White | Emergency Medicine | 1120 15th St # Af1006, Augusta, GA 30912-4500 | 2013-06-29 |
| 1013141118 | Darren Deandre Naugles | Emergency Medicine | 8920 Firestone Cir, Duluth, GA 30097-6627 | 2009-05-05 |
| 1437393667 | Donald R. Dalbey | Emergency Medicine | 3725 Sweetwater Drive, Cumming, GA 30041 | 2009-05-01 |
| 1346411667 | Harvey E Schuck | Emergency Medicine | 427 Brentwood Dr Ne, Atlanta, GA 30305-3204 | 2008-03-14 |
| 1639364011 | Srihari Rao Malempati | Emergency Medicine | 535 Trimble Lake Ct Ne, Atlanta, GA 30342-2481 | 2007-09-10 |
| 1306060264 | Gary L Godlewski | Emergency Medicine | 4755 Wesleyan Woods Dr, Macon, GA 31210-4410 | 2007-04-12 |
| 1710030002 | Robert Lee Carlson Jr. | Emergency Medicine | 3900 Legacy Park Blvd Nw, Suite C-100, Kennesaw, GA 30144-7412 | 2007-01-19 |
| 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.