ADVENT CARE SYSTEMS OF OCILLA, LLC (NPI# 1982227781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982227781 |
| Entity Type | Organization |
| Organization Name | ADVENT CARE SYSTEMS OF OCILLA, LLC |
| Practice Address |
501 N Irwin Ave Ocilla GA 31774-5007 |
| Mailing Address |
Po Box 413 Hinesville GA 31310-0413 |
| Practice Telephone | 9124330615 |
| Mailing Telephone | 2294680646 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | MR. RYAN S. TRETTIEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9125329308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 183500000X | Pharmacist | Pharmacy Service Providers | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | FQHC - IRWIN COUNTY LOW INCOME CERTIFICATION | 1139398320 | 01 |
| Street Address |
501 N IRWIN AVE |
| City | OCILLA |
| State | GA |
| Zip Code | 31774-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151100 | Advent Care Systems Home Health of Ocilla, LLC | Home Health | 501 N Irwin Ave, Ocilla, GA 31774-5007 | 2020-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003463605 | Mary Paulk | Technician | 303 N Elm Street, Ocilla, GA 31774 | 2019-08-20 |
| 1205106903 | Tift Regional Health System Inc | Internal Medicine | 813 N. Irwin Avenue, Ocilla, GA 31774 | 2012-01-11 |
| 1497051155 | Hospice Care Options Inc | Hospice Care, Community Based | 200 S Cherry St Ste A, Ocilla, GA 31774 | 2011-01-28 |
| 1578788410 | Howard C Mcmahan Md Irwin Family Medicine Associates | Family Medicine | 361 Cargile Road, Ocilla, GA 31774 | 2007-04-16 |
| 1720150071 | Irwin County Board of Education | Local Education Agency (LEA) | 210 Apple Street, Ocilla, GA 31774 | 2006-11-14 |
| 1376624569 | South Central Primary Care Center | Clinic/Center | 357 Cargile Rd, Ocilla, GA 31774 | 2006-10-17 |
| 1508979964 | Arturo Natada Ruanto | Family Medicine | 202 South Cherry St., Ocilla, GA 31774 | 2006-08-17 |
| 1861403727 | A & H Drugs LLC | Durable Medical Equipment & Medical Supplies | 615 N. Irwin Avenue, Ocilla, GA 31774 | 2006-08-10 |
| 1285009555 | Jessica Marie Lyons | Nurse Practitioner | 361 Cargile Road, Ocilla, GA 31774 | 2015-12-11 |
| 1649356981 | South Central Primary Care Center | Clinic/Center | 200 S Cherry St, Ocilla, GA 31774 | 2006-10-30 |
| Find all providers in zip 31774 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| 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.