THOMASVILLE ORTHOPEDIC CENTER, PC (NPI# 1902864754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902864754 |
| Entity Type | Organization |
| Organization Name | THOMASVILLE ORTHOPEDIC CENTER, PC |
| Practice Address |
100 Mimosa Dr Thomasville GA 31792 |
| Mailing Address |
Po Box 2968 Thomasville GA 31799-2968 |
| Practice Telephone | 2292269141 |
| Practice Fax Number | 2292280637 |
| Mailing Telephone | 2292269141 |
| Mailing Fax Number | 2292280637 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-02-07 |
| Authorized Official Name | FREDERICK R NUSBICKEL (PRESIDENT) |
| Authorized Official Telephone | 2292269144 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAIL ROAD MEDICARE | CB2303 | 01 |
| GA | DMERC | 0832790001 | 01 |
| Street Address |
100 MIMOSA DR |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073597753 | Timothy G Grayson | Urology | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2005-12-06 |
| 1902397672 | Fran Maureen Johnson | Physician Assistant | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2018-05-29 |
| 1619336898 | Archbold Medical Group, Inc. | Urology | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2016-02-17 |
| 1568862068 | Bianca Kierce | Nurse Practitioner | 100 Mimosa Dr, Third Floor, Thomasville, GA 31792-6676 | 2014-09-03 |
| 1871929364 | Leslie C. Stanaland | Nurse Practitioner | 100 Mimosa Dr, 2nd Floor, Thomasville, GA 31792-6676 | 2013-09-17 |
| 1619242781 | Krystyn Riddle | Physician Assistant | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2012-03-21 |
| 1649543497 | Kelly M Ledger | Nurse Practitioner | 100 Mimosa Dr, 2nd Floor, Thomasville, GA 31792-6676 | 2012-02-09 |
| 1205119005 | Ivey E. Allen | Physician Assistant | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-09-28 |
| 1598057655 | Archbold Medical Group | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-05-09 |
| 1760771356 | Mary Kathryn Hanisee | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114034501 | Clark County Orthopedic Group LLC | Orthopaedic Surgery | Unit 134, 3050 Hwy 5 N, Thomasville, AL 36784-4325 | 2006-08-23 |
| 1083950679 | Novant Medical Group, Inc | Orthopaedic Surgery | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2012-12-31 |
| 1497099006 | Novant Medical Group, Inc | Orthopaedic Surgery | 1219 Lexington Ave Ste D, Thomasville, NC 27360-2784 | 2012-11-20 |
| 1982992327 | R Rex Harris Md LLC | Orthopaedic Surgery | 33650 Highway 43, Suite 300, Thomasville, AL 36784-3305 | 2011-07-19 |
| 1902114218 | Novant Medical Group, Inc | Orthopaedic Surgery | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2010-09-21 |
| 1255520136 | Rose City Orthopaedics | Orthopaedic Surgery | 500 Gordon Ave, Thomasville, GA 31792-6646 | 2007-10-17 |
| 1164576369 | George A Azar | Orthopaedic Surgery | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2007-01-23 |
| 1023179975 | Steven Mcneal Potter | Orthopaedic Surgery | 211 Old Lexington Rd, Thomasville, NC 27360 | 2006-12-13 |
| 1609807072 | Regional Physicians LLC | Orthopaedic Surgery | 711 National Hwy, Suite 100, Thomasville, NC 27360-2667 | 2006-07-05 |
| 1114990215 | Richard W Murphy Jr. | Orthopaedic Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2006-02-09 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
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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.