MEDLINK GEORGIA INC (NPI# 1245340264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245340264 |
| Entity Type | Organization |
| Organization Name | MEDLINK GEORGIA INC |
| Practice Address |
520 Jesse Jewell Pkwy Se Gainesville GA 30501 |
| Mailing Address |
Po Box 459 Colbert GA 30628-0459 |
| Practice Telephone | 7702870290 |
| Practice Fax Number | 7702877597 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | DAVID WARD (CEO) |
| Authorized Official Telephone | 7067883234 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDLINK GEORGIA INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000471765G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829532 | Medlink Georgia Inc | Clinic/Center | 2148 Duluth Hwy Ste 112, Duluth, GA 30097-4505 | 2019-09-04 |
| 1750860508 | Medlink Georgia Inc | Clinic/Center | 137 W Athens St Ste 104, Winder, GA 30680-1786 | 2018-08-13 |
| 1851722524 | Medlink Georgia Inc | Clinic/Center | 396 Historic Hwy 441 N, Demorest, GA 30535-4522 | 2013-12-06 |
| 1568572576 | Medlink Georgia Inc | Clinic/Center | 123 Gordon St, Washington, GA 30673-1601 | 2006-08-30 |
| 1275643272 | Medlink Georgia Inc | Clinic/Center | 63 W Gibson St, Hartwell, GA 30643-1845 | 2006-08-30 |
| 1235249236 | Medlink Georgia Inc | Clinic/Center | 206 E Church St, Bowman, GA 30624-2109 | 2006-08-30 |
| 1174177638 | Medlink Georgia Inc | Pharmacy | 396 Historic Hwy 441 N, Demorest, GA 30535 | 2019-08-01 |
| 1669951414 | Medlink Georgia Inc | Clinic/Center | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2018-08-13 |
| 1245732254 | Medlink Georgia Inc | Pharmacy | 11 Charlie Morris Rd, Colbert, GA 30628-2445 | 2018-03-06 |
| 1467909374 | Medlink Georgia Inc | Clinic/Center | 226 Steven B Tanger Blvd, Commerce, GA 30529-3571 | 2016-09-08 |
| Street Address |
520 JESSE JEWELL PKWY SE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645219 | Tiffany Payne | Nurse Practitioner | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2019-02-20 |
| 1881158616 | Medlink Georgia, Inc | Pharmacy | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2019-01-25 |
| 1205373685 | Abigail Nevitt | Physician Assistant | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2017-01-24 |
| 1457729899 | Lauren Keith Ingram | Nurse Practitioner | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2015-09-02 |
| 1669882742 | Jennifer Copper | Nurse Practitioner | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2014-04-29 |
| 1366561565 | Mary Donell Ducote | Nurse Practitioner | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2007-03-28 |
| 1043339229 | Allergy & Asthma Clinic of Northeast Georgia | Allergy & Immunology | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1740594050 | Rural Health Care, Inc. | Clinic/Center | 410 Ne Waldo Rd, Gainesville, FL 32641-5685 | 2010-07-28 |
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| 1851590509 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 201 S. Elm Street, Gainesville, MO 65655 | 2007-07-13 |
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| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.