EAST GEORGIA ORTHOPEDIC CENTER, PC. (NPI# 1073728937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073728937 |
| Entity Type | Organization |
| Organization Name | EAST GEORGIA ORTHOPEDIC CENTER, PC. |
| Practice Address |
1601 Fair Rd Suite 300 Statesboro GA 30458-1698 |
| Practice Telephone | 9128712563 |
| Mailing Telephone | 9128712563 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DIANE C JOHNSON (PRACTICE MANAGER) |
| Authorized Official Telephone | 9128716742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | GA | Other Service Providers |
| Street Address |
1601 FAIR RD SUITE 300 |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222456 | Patrick Dorvilus | Internal Medicine | 1601 Fair Rd, Ste 500, Statesboro, GA 30458-1699 | 2005-06-01 |
| 1063929412 | Tattnall Hospital Company, LLC | Neurological Surgery | 1601 Fair Rd, Statesboro, GA 30458-1698 | 2018-01-08 |
| 1598155004 | Tiffany Kreun | Nurse Practitioner | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-1698 | 2015-02-04 |
| 1720499304 | East Georgia Cancer Clinic | Internal Medicine | 1601 Fair Rd, #900, Statesboro, GA 30458-1698 | 2014-05-16 |
| 1487087938 | Lisa S Robinson, Do PC | Internal Medicine | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-1698 | 2013-08-19 |
| 1992936702 | Orthopedic Center PC | Clinic/Center | 1601 Fair Rd, Suite 1100, Statesboro, GA 30458-1698 | 2009-07-29 |
| 1225201494 | Andrew V Cichelli Md Inc | Psychiatry & Neurology | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-1698 | 2008-04-09 |
| 1205004165 | Britney Leigh Mobley | Physical Therapist | 1601 Fair Rd, Suite 100, Statesboro, GA 30458-1698 | 2008-02-13 |
| 1346420494 | Saraju C Dalsania | Internal Medicine | 1601 Fair Rd, Suite 700, Statesboro, GA 30458-1698 | 2007-11-06 |
| 1629257787 | Michael Anthony Taormina | Psychiatry & Neurology | 1601 Fair Rd, Suite 400, Statesboro, GA 30458-1698 | 2007-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336572049 | Access Gastroenterolgy, Inc. | Specialist | 1601 Fair Rd Suite 500, Statesboro, GA 30438 | 2013-08-16 |
| 1477992725 | Orthopedic Center PC | Specialist | 16915 Highway 67 South Suite A, Statesboro, GA 30458 | 2013-06-20 |
| 1295999795 | East Georgia Pediatrics | Specialist | 715 Northside Dr E, Suite 5 Pmb 398, Statesboro, GA 30458-4712 | 2008-07-14 |
| 1215149497 | A. Deo Klein, M.d., P.C. | Specialist | 1161 Sarahlyn Lane, Ste. A, Statesboro, GA 30461 | 2007-05-03 |
| 1235266800 | Savannah Allergy Associates, P.C. | Specialist | 4 Bulloch St, Statesboro, GA 30458-0731 | 2007-02-28 |
| 1770670259 | Catherine K Dickens | Specialist | 0404 Forrest Dr, Georgia Southern University Health Services, Statesboro, GA 30460-0001 | 2006-10-06 |
| 1750488011 | East Ga Regional Eye Center | Specialist | 21 N Zetterower Ave, Statesboro, GA 30458-7142 | 2006-09-20 |
| 1639287949 | Donald Graham | Specialist | 1211 Merchants Way, Suite 401, Statesboro, GA 30458-0867 | 2006-08-27 |
| 1063443810 | David Hale Weems | Specialist | 27 Lester Rd, Statesboro, GA 30458-4764 | 2006-07-06 |
| 1538122478 | Sidney R Washington IIi | Specialist | 1878 Brannen Lake Rd, Statesboro, GA 30458-7257 | 2006-04-11 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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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.