GEORGIA WOUND PHYSICIANS, LLC (NPI# 1992004923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992004923 |
| Entity Type | Organization |
| Organization Name | GEORGIA WOUND PHYSICIANS, LLC |
| Practice Address |
2304 Shorter Ave Nw Rome GA 30165-1944 |
| Mailing Address |
7 Huntington Rd Sw Rome GA 30165-6660 |
| Practice Telephone | 7063466328 |
| Mailing Telephone | 7063466328 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |
| Authorized Official Name | DR. KENNETH W JONES JR. (SOLE MEMBER) |
| Authorized Official Telephone | 7063466328 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2304 SHORTER AVE NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689059412 | Martin J Lynch Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2304 Shorter Ave Nw, Rome, GA 30165-1944 | 2015-07-22 |
| 1174960959 | Wound Care Specialists, LLC | Surgery | 2304 Shorter Ave Nw, Rome, GA 30165-1944 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962843680 | Amarabalan Rajendran | Internal Medicine | 3 Central Plz # 353, Rome, GA 30161-3233 | 2013-07-10 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1942571781 | Gene Grant Davidson | Internal Medicine | 92 Twin Lake Rd Sw, Rome, GA 30165-8533 | 2012-01-25 |
| 1831421189 | Susan Beth Levenstein | Internal Medicine | Via S. Alberto Magno, 5, Rome, RM 00153 | 2010-02-10 |
| 1932336922 | Tejas V Raiyani | Internal Medicine | 100 John Maddox Dr Nw Ste A2, Rome, GA 30165-1431 | 2009-06-17 |
| 1336304609 | Tessa L Gibson | Internal Medicine | 2112 Shorter Ave Nw Ste 200, Rome, GA 30165-2042 | 2008-07-25 |
| 1285896167 | Antonina Legaspi Manglapus | Internal Medicine | 6233 Lamphear Road, Rome, NY 13440 | 2008-07-01 |
| 1174785158 | Tushar Shah | Internal Medicine | 1208 Claridge Dr Se, Rome, GA 30161-8577 | 2008-06-30 |
| 1922214063 | Rebecca Boyd Madden | Internal Medicine | 14 John Maddox Dr Nw, Rome, GA 30165-1450 | 2007-05-15 |
| 1457492688 | Jeffrey D Amidon | Internal Medicine | 801 N James St, Rome, NY 13440-3524 | 2007-02-09 |
| Find all providers in ROME | ||||
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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.