PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. (NPI# 1952412009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952412009 |
| Entity Type | Organization |
| Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. |
| Other Organization Name | PHOEBE NORTHWEST MEDICAL EQUIPMENT |
| Practice Address |
2336 Dawson Rd Suite 1100 Albany GA 31707-2442 |
| Practice Telephone | 2293128726 |
| Practice Fax Number | 2293128715 |
| Mailing Telephone | 2293128726 |
| Mailing Fax Number | 2293128715 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-04-14 |
| Authorized Official Name | MR. KERRY LOUDERMILK (VP / CFO) |
| Authorized Official Telephone | 2293124068 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 16760 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 465663749A | 05 |
| Other Name | Type Code |
|---|---|
| Phoebe Northwest Medical Equipment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821293788 | Phoebe Putney Memorial Hospital, Inc. | Clinic/Center | 48 Us Highway 19 S, Camilla, GA 31730-1960 | 2007-06-19 |
| 1871697508 | Phoebe Putney Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 427 W Third Avenue, Albany, GA 31701 | 2006-09-12 |
| 1821239765 | Phoebe Putney Memorial Hospital, Inc. | Clinic/Center | 410 Curry St Ne, Pelham, GA 31779-1457 | 2009-03-23 |
| 1336215615 | Phoebe Putney Memorial Hospital, Inc. | Ambulance | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-11-28 |
| 1013095868 | Phoebe Putney Memorial Hospital, Inc. | Ambulance | 417 W 3rd Ave, Albany, GA 31701 | 2006-11-01 |
| 1316992027 | Phoebe Putney Memorial Hospital, Inc. | Rehabilitation Unit | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-05-23 |
| 1669438404 | Phoebe Putney Memorial Hospital, Inc. | Psychiatric Unit | 417 W 3rd Ave, Albany, GA 31701 | 2006-04-21 |
| 1851356349 | Phoebe Putney Memorial Hospital, Inc. | Hospice, Inpatient | 320 Foundation Ln, Albany, GA 31707-5862 | 2006-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. | 417 W 3rd Ave, Albany, GA 31706-1943 |
| Street Address |
2336 DAWSON RD SUITE 1100 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558356345 | Brandy P Dew | Nurse Practitioner | 2336 Dawson Rd, Ste 1500, Albany, GA 31707-2442 | 2005-09-17 |
| 1023569951 | Sarah Lynn Codrea | Family Medicine | 2336 Dawson Rd, Ste 2200, Albany, GA 31707-2800 | 2016-10-14 |
| 1518413467 | Brittany S English | Physical Therapist | 2336 Dawson Rd, Ste 1100, Albany, GA 31707-2800 | 2016-08-31 |
| 1386198455 | John Royal Macon Jr. | Family Medicine | 2336 Dawson Rd, Suite 2200, Albany, GA 31707-2800 | 2016-08-06 |
| 1700232774 | Tiera Barron | Family Medicine | 2336 Dawson Rd, Suite 1500, Albany, GA 31707 | 2016-05-10 |
| 1386028256 | Sharmon Osae | Pharmacist | 2336 Dawson Rd, #1500, Albany, GA 31707-2800 | 2015-07-10 |
| 1053799973 | Monisola Modupe Sanusi | Family Medicine | 2336 Dawson Rd, 1100, Albany, GA 31707-2800 | 2015-05-12 |
| 1609268176 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd, Suite 2200, Albany, GA 31707-2800 | 2015-02-20 |
| 1760871420 | Emantavius Williams | Family Medicine | 2336 Dawson Rd, Albany, GA 31707-2800 | 2015-01-20 |
| 1750799581 | Kirsty L Vanderwalt | Physical Therapist | 2336 Dawson Rd, Albany, GA 31707-2800 | 2014-07-24 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144854191 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 260 S Pearl St Ste P, Albany, NY 12202-1809 | 2020-02-28 |
| 1801451919 | Optum Telemed, Inc. | Durable Medical Equipment & Medical Supplies | 2021 N Slappey Blvd Ste 203, Albany, GA 31701-1001 | 2019-05-03 |
| 1578088795 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 911 Central Ave Ste 10, Albany, NY 12206-1304 | 2017-08-09 |
| 1265962906 | Shoes and Medical Product Solutions LLC | Durable Medical Equipment & Medical Supplies | 1715 E Oglethorpe Blvd, Albany, GA 31705 | 2017-06-15 |
| 1255867545 | David Sampson | Durable Medical Equipment & Medical Supplies | 208 Adelyn Rd, Albany, GA 31705-2308 | 2017-05-04 |
| 1164889580 | Georgia Bracing Center | Durable Medical Equipment & Medical Supplies | 2021 N Slappey Blvd, Ste 203, Albany, GA 31701-1001 | 2016-01-16 |
| 1962872762 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2586 N Slappey Blvd, Albany, GA 31701-1012 | 2015-10-06 |
| 1255717278 | Shearer Drug Inc | Durable Medical Equipment & Medical Supplies | 260 Burkesville Rd, Albany, KY 42602 | 2015-07-31 |
| 1841673811 | Optum Infusion Services 100, Inc. | Durable Medical Equipment & Medical Supplies | 25 Post Rd, Ste. 5, Albany, NY 12205-4781 | 2015-07-08 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 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.