COLISEUM HEALTH GROUP LLC (NPI# 1154363745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154363745 |
| Entity Type | Organization |
| Organization Name | COLISEUM HEALTH GROUP LLC |
| Other Organization Name | GRAY FAMILY HEALTH |
| Practice Address |
110 Stone Brooke Dr Gray GA 31032-5865 |
| Practice Telephone | 4789864743 |
| Mailing Telephone | 4789864743 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | MICKEY PICKLER (VP) |
| Authorized Official Telephone | 6153737600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | CN6965 | 01 |
| Other Name | Type Code |
|---|---|
| Gray Family Health | Doing Business As Name - Organization |
| Street Address |
110 STONE BROOKE DR |
| City | GRAY |
| State | GA |
| Zip Code | 31032-5865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807767 | Community Transport, LLC | Non-emergency Medical Transport (VAN) | 110 Stone Brooke Dr, Gray, GA 31032-5865 | 2020-06-26 |
| 1326515719 | Affinis Hospice, LLC | Hospice Care, Community Based | 110 Stone Brooke Dr, Gray, GA 31032-5865 | 2018-10-24 |
| 1376720698 | Gray Family Health LLC | Family Medicine | 110 Stone Brooke Dr, Gray, GA 31032-5865 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225669120 | True Essential Service, LLC | Home Health | 112 Madison Avenue, Gray, GA 31032 | 2020-01-29 |
| 1740640234 | Tuquester L. Carlisle | Marriage & Family Therapist | 300 West Clinton St., Suite I, Gray, GA 31032 | 2016-02-26 |
| 1821404161 | Linda Norman Greene | Home Health Aide | 3562 Gray Highway, Gray, GA 31032 | 2014-07-08 |
| 1770876781 | Gray Dental Associates, P.C. | Dentist | 242 West Clinton St, Gray, GA 31032 | 2011-05-24 |
| 1245404516 | Louise E Simmons | Nurse's Aide | 426 Liberty Street, Gray, GA 31032 | 2008-04-17 |
| 1396929568 | Albert H Mcgalliard | Pharmacist | 236 West Clinton St, Gray, GA 31032 | 2007-12-24 |
| 1184845067 | Todd F Kelleher | Chiropractor | 4292 Gray Highway, Gray, GA 31032 | 2007-05-01 |
| 1477690014 | S & S Medical Management Services, Inc | Durable Medical Equipment & Medical Supplies | 221 West Clinton Street, Suite F, Gray, GA 31032 | 2007-01-31 |
| 1235290859 | River Edge Behavorial Health Center | Community/Behavioral Health | 324 Highway 18 East, Gray, GA 31032 | 2006-12-13 |
| 1437211067 | River Edge Behavioral Health Center | Community/Behavioral Health | 502 West Clinton Street, Gray, GA 31032 | 2006-12-13 |
| Find all providers in zip 31032 | ||||
| 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 |
|---|---|---|---|---|
| 1629556196 | Kara Marie Hill | Family Medicine | 108 Furches Dr Apt 2, Gray, TN 37615-2860 | 2018-08-06 |
| 1730541749 | Benjamin Slocum | Family Medicine | 126 Shaker Rd, Gray, ME 04039-9629 | 2016-03-28 |
| 1154569952 | Genesis Family Healthcare Pllc | Family Medicine | 2244 Boones Creek Rd, Gray, TN 37615-4432 | 2009-02-02 |
| 1588822050 | Elizabeth Brezina Palmer | Family Medicine | 2103 Forest Dr, Suite 5, Gray, TN 37615-8422 | 2008-05-30 |
| 1487603742 | Rebekah J Cote | Family Medicine | 132 Old Gray Station Rd, Gray, TN 37615-3434 | 2006-05-06 |
| 1932188323 | Frederick A Van Mourik | Family Medicine | 116 Shaker Rd, Gray, Gray, ME 04039-9629 | 2006-01-13 |
| 1194710293 | Linda S Arnold | Family Medicine | 260 W Clinton St, Gray, GA 31032-5430 | 2005-09-14 |
| 1548263064 | Wyatt Kenny Blake | Family Medicine | 1005 Boulder Dr, Gray, GA 31032 | 2005-05-30 |
| 1376720698 | Gray Family Health LLC | Family Medicine | 110 Stone Brooke Dr, Gray, GA 31032-5865 | 2008-01-29 |
| 1457496234 | Melissa D Primrose-ringfield | Family Medicine | 1005 Boulder Dr, Gray, GA 31032-6141 | 2007-02-20 |
| Find all providers in GRAY | ||||
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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.