ARCHBOLD MEDICAL GROUP (NPI# 1912335308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912335308 |
| Entity Type | Organization |
| Organization Name | ARCHBOLD MEDICAL GROUP |
| Other Organization Name | ARCHBOLD BROOKS SPECIALTY CLINIC |
| Practice Address |
1309 W Screven St Quitman GA 31643-1819 |
| Mailing Address |
900 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2292275158 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | CHARLES HIGHTOWER (CFO) |
| Authorized Official Telephone | 2292282853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Archbold Brooks Specialty Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609215680 | Archbold Medical Group | Specialist | 706 S Broad St, Thomasville, GA 31792-6107 | 2013-06-23 |
| 1265798185 | Archbold Medical Group | Internal Medicine | 1090 5th St Se, Cairo, GA 39828-3139 | 2012-04-04 |
| 1598057655 | Archbold Medical Group | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-05-09 |
| 1346557717 | Archbold Medical Group | Surgery | 900 Cairo Rd, Thomasville, GA 31792-4255 | 2010-09-08 |
| 1104910520 | Archbold Medical Group | Neurological Surgery | 704 South Broad Street, Thomasville, GA 31792-6107 | 2006-10-02 |
| 1124051040 | Archbold Medical Group | Family Medicine | 555 N Jefferson St, Monticello, FL 32344-2060 | 2006-07-07 |
| Street Address |
1309 W SCREVEN ST |
| City | QUITMAN |
| State | GA |
| Zip Code | 31643-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619009966 | John D. Archbold Memorial Hospital | Clinic/Center | 1309 W Screven St, Quitman, GA 31643-1819 | 2007-03-12 |
| 1205470655 | Katie W Tanner | Occupational Therapist | 1309 W Screven St, Quitman, GA 31643-1819 | 2019-10-29 |
| 1558928341 | Amy Thomas | Physical Therapist | 1309 W Screven St, Quitman, GA 31643-1819 | 2019-05-28 |
| 1063841138 | Brooks County Hospital | Clinic/Center | 1309 W Screven St, Quitman, GA 31643-1819 | 2013-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168938 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1103 W Screven St, Quitman, GA 31643 | 2017-07-26 |
| 1245774025 | Shacora Travis | Contractor | 1200 Carney Road, Quitman, GA 31643 | 2016-12-13 |
| 1528358306 | Thomas Jackson Barrs | Pharmacist | 1103 West Screven St, Quitman, GA 31643 | 2011-04-13 |
| 1326356767 | Robert Eugene Jennings Jr. | Pharmacist | 510 Old Madison Rd, Quitman, GA 31643 | 2010-09-20 |
| 1275854515 | Marable's Heart-to-heart PCh Inc | Home Health | 83 Church Lane, Marable's Heart-to-heart Personal Care Home Inc., Quitman, GA 31643 | 2010-06-22 |
| 1871718577 | Mcleod-gaston Inc | Community/Behavioral Health | 102 N. Madison St., Quitman, GA 31643 | 2007-04-16 |
| 1598804197 | Debra M Seleska | Nurse Practitioner | 907 North Court Street, Quitman, GA 31643 | 2007-02-06 |
| 1184078537 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1639523087 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1538513981 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| Find all providers in zip 31643 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619009966 | John D. Archbold Memorial Hospital | Clinic/Center | 1309 W Screven St, Quitman, GA 31643-1819 | 2007-03-12 |
| 1063841138 | Brooks County Hospital | Clinic/Center | 1309 W Screven St, Quitman, GA 31643-1819 | 2013-11-08 |
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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.