SAINT JOSEPHS MEDICAL GROUP INC (NPI# 1154349850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154349850 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPHS MEDICAL GROUP INC |
| Other Organization Name | SJC MEDICAL GROUP - PEMBROKE |
| Practice Address |
159 West Railroad St Pembroke GA 31321 |
| Mailing Address |
602 E 72nd Street Savannah GA 31405 |
| Practice Telephone | 9126532897 |
| Practice Fax Number | 9126534299 |
| Mailing Telephone | 9128197878 |
| Mailing Fax Number | 9128197850 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | PAUL P HINCHEY (PRESIDENT CEO) |
| Authorized Official Telephone | 9128196901 |
| Is Organization Subpart | Y |
| Parent Organization Name | SJC MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GROUP MEDICARE | 2555 | 01 |
| Other Name | Type Code |
|---|---|
| SJC Medical Group - Pembroke | Other Name - Individual/Organization |
| Street Address |
159 WEST RAILROAD ST |
| City | PEMBROKE |
| State | GA |
| Zip Code | 31321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1649830001 | Jennifer Creek Poston | Physical Medicine & Rehabilitation | 105 East Bacon Street, Pembroke, GA 31321 | 2019-06-18 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1356539894 | Kristen Altman | Physical Therapist | 205 East Bacon Steet, Pembroke, GA 31321 | 2007-10-10 |
| 1366573297 | Malken Pharm Services Inc | Pharmacy | 137 E. Bacon St, Pembroke, GA 31321 | 2007-03-09 |
| 1184753709 | Gateway Behavioral Health Services | Community/Behavioral Health | 40 E Industrial Blvd, Pembroke, GA 31321 | 2007-03-02 |
| 1972611663 | Bryan County Emergency Medical Service | Ambulance | 116 Lanier Street, Pembroke, GA 31321 | 2006-08-25 |
| 1003265836 | Harley Hendrix | Family Medicine | 159 W. Railroad Street, Pembroke, GA 31321 | 2016-06-13 |
| 1760886402 | Sharon Estill | Registered Nurse | 430 Ledford Street, Pembroke, GA 31321 | 2014-10-09 |
| 1033513775 | Joanne S Burnsed | Registered Nurse | 430 Ledford Street, Pembroke, GA 31321 | 2014-10-09 |
| Find all providers in zip 31321 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609437706 | Heidi Nichole Buxton | Family Medicine | 4 Donna Dr, Pembroke, NH 03275-3102 | 2019-06-28 |
| 1912385915 | Shannon Leigh Burnham | Family Medicine | 15 Corporate Park Dr, Pembroke, MA 02359-1966 | 2015-05-11 |
| 1851582092 | Donovan D Dixon | Family Medicine | 812 Candy Park Road 5101, Pembroke, NC 28372-7322 | 2007-08-05 |
| 1457571432 | Jennifer Pickens Locklear | Family Medicine | 410d S Jones St, Pembroke, NC 28372-7261 | 2007-05-01 |
| 1174675748 | Michael Andrew Register | Family Medicine | 244 Ledford Street, Pembroke, GA 31321-1183 | 2007-01-17 |
| 1730292103 | Steven H Kaitz | Family Medicine | 48 Glass St, Pembroke, NH 03275-1506 | 2006-08-17 |
| 1841238573 | Robert Niegisch | Family Medicine | 121 Pembroke St, Pembroke, NH 03275-1311 | 2006-06-03 |
| 1437136413 | Laurie A. Dimaria | Family Medicine | 28 Riverside Dr, Pembroke, MA 02359-1937 | 2005-12-29 |
| 1770573578 | Tulula Locklear Lowry | Family Medicine | Robeson County Cboc, 139 Three Hunts Drive, Pembroke, NC 28372 | 2005-10-24 |
| 1639178106 | Danny L West | Family Medicine | 102 Livermore Dr, Pembroke, NC 28372-7270 | 2005-07-18 |
| Find all providers in PEMBROKE | ||||
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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.