URGENT CARE OF COASTAL GEORGIA (NPI# 1285149427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285149427 |
Entity Type | Organization |
Organization Name | URGENT CARE OF COASTAL GEORGIA |
Practice Address |
214 A Professional Circle St. Marys GA 31558 |
Mailing Address |
214 Professional Cir Ste A Saint Marys GA 31558-3783 |
Practice Telephone | 9125108224 |
Practice Fax Number | 9125764791 |
Mailing Telephone | 9125108224 |
Mailing Fax Number | 9125764791 |
Enumeration Date | 2017-12-11 |
Last Update Date | 2017-12-11 |
Authorized Official Name | JIMMY ARTURO MALAVER-REYES (OWNER/MEDICAL DIRECTOR) |
Authorized Official Telephone | 9125108224 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 065138 | GA | Allopathic & Osteopathic Physicians |
Street Address |
214 A PROFESSIONAL CIRCLE |
City | ST. MARYS |
State | GA |
Zip Code | 31558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
1922659192 | Christian Bianca Booker | Social Worker | 944 Kings Bay Rd. #247, St. Marys, GA 31558 | 2019-09-27 |
1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
1174038095 | Camden Behavioral Wellness, Inc | Counselor | 605 Osborne Street, Saint Mary's, GA 31558 | 2017-12-14 |
1679975783 | Jeremy Cole | Behavioral Analyst | 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 | 2014-09-19 |
1053660738 | Janice Paulino Ramirez | Nurse Practitioner | 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 | 2012-09-10 |
1174899454 | Light Horse Healthcare Inc | Voluntary or Charitable | 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 | 2012-03-30 |
1316215775 | Annette O. Perry | Counselor | 4019 Hwy 40 East, St. Marys, GA 31558 | 2011-12-13 |
1932486271 | Sarah Jo Meyers | Speech-Language Pathologist | 2015 Osborne Rd, Unit A, St Marys, GA 31558 | 2011-11-15 |
1285937185 | Cailen Emlee Wells | Chiropractor | 775 Kings Bay Rd, St. Marys, GA 31558 | 2010-12-15 |
Find all providers in zip 31558 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.