NW GA REGIONAL HOSPITAL (NPI# 1114040805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114040805 |
| Entity Type | Organization |
| Organization Name | NW GA REGIONAL HOSPITAL |
| Other Organization Name | PHARMACY |
| Practice Address |
1305 Redmond Cir Nw Rome GA 30165-1345 |
| Mailing Address |
1305 Redmond Cir Nw Patient Accounts Office Rome GA 30165-1345 |
| Practice Telephone | 7062956298 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY VAUGHN (PATIENT ACCOUNTS OFFICER) |
| Authorized Official Telephone | 7062956298 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124141916 | Nw Ga Regional Hospital | Community/Behavioral Health | 150 Rogers Dr Nw, Rome, GA 30165-1328 | 2007-04-09 |
| 1679696462 | Nw Ga Regional Hospital | Community/Behavioral Health | 152 Rogers Dr Nw, Rome, GA 30165-1328 | 2007-04-09 |
| 1700909496 | Nw Ga Regional Hospital | Community/Behavioral Health | 21 Widgeon Way Nw, Rome, GA 30165-1361 | 2007-04-09 |
| 1528181211 | Nw Ga Regional Hospital | Community/Behavioral Health | 23 Widgeon Way Nw, Rome, GA 30165-1361 | 2007-04-09 |
| 1003939794 | Nw Ga Regional Hospital | Pharmacy | 705 N Division St Nw, Rome, GA 30165-1454 | 2007-04-09 |
| 1407979297 | Nw Ga Regional Hospital | Community/Behavioral Health | 845 N Division St Nw, Rome, GA 30165-1497 | 2007-04-09 |
| 1588785547 | Nw Ga Regional Hospital | Community/Behavioral Health | 2154 W County Line Rd, Douglasville, GA 30135-1138 | 2007-04-03 |
| 1891924577 | Nw Ga Regional Hospital | Psychiatric Hospital | 705 N Division St Nw, Rome, GA 30165-1454 | 2009-07-02 |
| 1205959996 | Nw Ga Regional Hospital | Community/Behavioral Health | 1305 Redmond Cir Nw, Rome, GA 30165-1345 | 2007-04-09 |
| Street Address |
1305 REDMOND CIR NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654539 | Catherine W Marrs | Registered Nurse | 1305 Redmond Cir Nw, Bldg. 614, Rome, GA 30165-1345 | 2005-07-29 |
| 1205959996 | Nw Ga Regional Hospital | Community/Behavioral Health | 1305 Redmond Cir Nw, Rome, GA 30165-1345 | 2007-04-09 |
| 1174686620 | Highland Rivers Center, Csb | Community/Behavioral Health | 1305 Redmond Cir Nw, House # 1114, Rome, GA 30165-1345 | 2006-12-18 |
| 1437223914 | Nw Ga Regional Hospital Icf Mr | Intermediate Care Facility, Mentally Retarded | 1305 Redmond Cir Nw, Rome, GA 30165-1345 | 2006-11-17 |
| 1093749772 | Joseph E Rowland | Dentist | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-10 |
| 1841224581 | Satishchandra V Patel | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-10 |
| 1902830672 | Susan E Queen | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-10 |
| 1205868114 | Joseph J Mangraviti | General Practice | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-07 |
| 1801826128 | Thomas W Muller | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-03 |
| 1811927163 | Nicolas Sanchez | Psychiatry & Neurology | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-03 |
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| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063698595 | Harbin Clinic, LLC | Clinical Medical Laboratory | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777899 | White Coat Sciences LLC | Clinical Medical Laboratory | 315 Bankhead Hwy Ste A, Carrollton, GA 30117-2487 | 2020-10-11 |
| 1851998264 | P23 Labs, LLC | Clinical Medical Laboratory | 7426 Hodgson Memorial Dr, Savannah, GA 31406-2609 | 2020-10-08 |
| 1871190686 | Allegiant Solutions LLC | Clinical Medical Laboratory | 3312 N Oak Street Ext Ste G, Valdosta, GA 31605-1065 | 2020-10-05 |
| 1184221376 | Darlene Gordon | Clinical Medical Laboratory | 9100 White Bluff Rd Ste 106, Savannah, GA 31406-4673 | 2020-10-01 |
| 1841807849 | Gold Coast Diagnostics, LLC | Clinical Medical Laboratory | 4390 Governor's Drive, 407, Forest Park, GA 30297-3029 | 2020-09-24 |
| 1154936979 | Achilles Healthcare LLC | Clinical Medical Laboratory | 6183 Indian Wood Cir Se, Mableton, GA 30126-2964 | 2020-09-09 |
| 1033737382 | Community Health and Wellness Lab | Clinical Medical Laboratory | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 | 2020-07-13 |
| 1497371744 | Gamma Laboratories, LLC | Clinical Medical Laboratory | 270 Carpenter Dr Ste 690, Sandy Springs, GA 30328-4931 | 2020-06-23 |
| 1346864592 | Omega Genomix, LLC | Clinical Medical Laboratory | 200 Washington St Nw Ste C, Gainesville, GA 30501-3622 | 2020-06-03 |
| 1467072231 | Ft Medical Group, LLC | Clinical Medical Laboratory | 777 Cleveland Ave Sw Ste 516, Atlanta, GA 30315-7115 | 2020-04-22 |
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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.