AASU SPORTS MEDICNE (NPI# 1215239934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215239934 |
| Entity Type | Organization |
| Organization Name | AASU SPORTS MEDICNE |
| Practice Address |
11935 Abercorn St Savannah GA 31419-1909 |
| Practice Telephone | 9123442866 |
| Practice Fax Number | 9123443420 |
| Mailing Telephone | 9123442866 |
| Mailing Fax Number | 9123443420 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | MS. LYDIA WILLIAMS (HEAD ATHLETIC TRAINER) |
| Authorized Official Telephone | 9124140271 |
| Authorized Official Credential | ATC |
| 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 |
| Street Address |
11935 ABERCORN ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740655083 | Lauren Barthelmess | Nurse Practitioner | 11935 Abercorn St, Savannah, GA 31419 | 2015-12-12 |
| 1821491473 | Kristi Dees | Nurse Practitioner | 11935 Abercorn St, Savannah, GA 31419 | 2014-09-26 |
| 1437407509 | Caroline Brif | Specialist/Technologist | 11935 Abercorn St, Athletics, Savannah, GA 31419-1909 | 2012-08-21 |
| 1467727370 | Tattnall Hospital Company, LLC | Physical Therapist | 11935 Abercorn St, Savannah, GA 31419-1909 | 2012-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184838682 | Hardin County Board of Education | Clinic/Center | 155 Guinn St, Savannah, TN 38372-2025 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023422417 | Georgia Southwestern State University | Clinic/Center | 800 Gsw University Drive, Americus, GA 31709 | 2014-06-13 |
| 1154758001 | Georgia College & State University | Clinic/Center | 120 W Campus Dr Cbx 091, Milledgeville, GA 31061-1990 | 2013-10-08 |
| 1831443936 | Georgia College & State University | Clinic/Center | 120 W Campus Dr, Cbx 091, Milledgeville, GA 31061-1990 | 2012-10-29 |
| 1821373580 | Thomas University | Clinic/Center | 1501 Millpond Rd, Thomasville, GA 31792-7478 | 2011-10-13 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.