BARTLEY R. RICHARDS, DO PC (NPI# 1023230620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023230620 |
Entity Type | Organization |
Organization Name | BARTLEY R. RICHARDS, DO PC |
Practice Address |
1654 Washington St Jefferson GA 30549-2666 |
Practice Telephone | 7063675006 |
Practice Fax Number | 7063677711 |
Mailing Telephone | 7063675006 |
Mailing Fax Number | 7063677711 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2013-06-24 |
Authorized Official Name | BARTLEY RUARK RICHARDS (CEO) |
Authorized Official Telephone | 7063675006 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 033883 | GA | Ambulatory Health Care Facilities |
Street Address |
1654 WASHINGTON ST |
City | JEFFERSON |
State | GA |
Zip Code | 30549-2666 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508962911 | Bartley R Richards | Family Medicine | 1654 Washington St, Jefferson, GA 30549-2666 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
Find all providers in zip 30549 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811420060 | Infinite Consulting Empire, LLC | Clinic/Center | 122 Washington St, Suite 7, Jefferson, GA 30549-6660 | 2017-04-05 |
1346469558 | Health Connection Inc | Clinic/Center | 657 Athens St, Jefferson, GA 30549-1474 | 2007-04-25 |
1649645581 | Infinite Consulting Empire, LLC | Clinic/Center | 122 Washington St Ste 7, Jefferson, GA 30549-6660 | 2015-12-03 |
1639242043 | Harlan S. Waid, Jr., M.d., Inc. | Clinic/Center | 125 S Chestnut St, Jefferson, OH 44047-1312 | 2006-11-15 |
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1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
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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.