GEORGIA COLLEGE & STATE UNIVERSITY (NPI# 1154758001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154758001 |
| Entity Type | Organization |
| Organization Name | GEORGIA COLLEGE & STATE UNIVERSITY |
| Other Organization Name | GCSU SPORTS MEDICINE |
| Practice Address |
120 W Campus Dr Cbx 091 Milledgeville GA 31061-1990 |
| Practice Telephone | 4784455288 |
| Practice Fax Number | 4784453142 |
| Mailing Telephone | 4784455288 |
| Mailing Fax Number | 4784453142 |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | DR. PAUL JONES (VP OF ADMINISTRATION & OPERATIONS) |
| Authorized Official Telephone | 4784455148 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GCSU Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831443936 | Georgia College & State University | Clinic/Center | 120 W Campus Dr, Cbx 091, Milledgeville, GA 31061-1990 | 2012-10-29 |
| Street Address |
120 W CAMPUS DR CBX 091 |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31061-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1629619945 | Gini M Ellis | Counselor | Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 | 2019-10-08 |
| 1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
| 1467923805 | Adam Tocio | Specialist/Technologist | 350 W. Washington St., Milledgeville, GA 31061 | 2018-12-11 |
| 1487170304 | Aubrey Martin | Specialist/Technologist | 251 S Clark St., Milledgeville, GA 31061 | 2017-08-22 |
| 1427573054 | Heritagefirst Home Care Inc. | In Home Supportive Care | 1277 Twin Pine Road, Milledgeville, GA 31061 | 2017-08-04 |
| 1851813893 | Brittany Shantrel Primas | Nurse Practitioner | 102 A Airport Road Ne, Milledgeville, GA 31061 | 2017-07-12 |
| 1609300839 | Samantha Weldon | Behavioral Analyst | 174 Stewart Dr Nw, Milledgeville, GA 31061 | 2017-04-14 |
| 1427425230 | Foster Deariso | Specialist/Technologist | 251 S Clarke St, Milledgeville, GA 31061 | 2015-08-27 |
| 1023406279 | Llewelyn Garillos | Occupational Therapist | 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 | 2014-12-22 |
| Find all providers in zip 31061 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831443936 | Georgia College & State University | Clinic/Center | 120 W Campus Dr, Cbx 091, Milledgeville, GA 31061-1990 | 2012-10-29 |
| 1063766731 | Georgia Military College | Clinic/Center | 201 E Greene St, Milledgeville, GA 31061-3519 | 2012-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023422417 | Georgia Southwestern State University | Clinic/Center | 800 Gsw University Drive, Americus, GA 31709 | 2014-06-13 |
| 1821373580 | Thomas University | Clinic/Center | 1501 Millpond Rd, Thomasville, GA 31792-7478 | 2011-10-13 |
| 1215239934 | Aasu Sports Medicne | Clinic/Center | 11935 Abercorn St, Savannah, GA 31419-1909 | 2010-12-01 |
| 1396873527 | Georgia Institute of Technology | Clinic/Center | 740 Ferst Drive, Nw, Atlanta, GA 30332-0470 | 2007-03-01 |
| 1043352016 | Georgia Institute of Technology Stamps Health Services | Clinic/Center | 740 Ferst Drive, Atlanta, GA 30332-0470 | 2007-02-13 |
| 1891255519 | Alexander Clifford Commanday | Clinic/Center | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2019-03-20 |
| 1144629932 | Young Harris College | Clinic/Center | 1 College St, Young Harris, GA 30582-4137 | 2014-08-18 |
| 1790100170 | Wellstar Medical Group, LLC | Clinic/Center | 3215 Campus Loop Rd Nw, Kennesaw, GA 30144-3227 | 2014-02-21 |
| 1811324296 | Columbus State University | Clinic/Center | 4225 University Ave, Athletics Lumpkin Center Rm 124, Columbus, GA 31907-5679 | 2013-10-01 |
| 1891038568 | Abraham Baldwin Agricultural College | Clinic/Center | 2802 Moore Hwy, Abac 52, Tifton, GA 31793-5679 | 2013-04-01 |
| Find all providers with the same taxonomy | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
Please comment or provide details below to improve the information on GEORGIA COLLEGE & STATE UNIVERSITY.
| 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.