CCSG, INC. (NPI# 1295120145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295120145 |
| Entity Type | Organization |
| Organization Name | CCSG, INC. |
| Practice Address |
116 Mimosa Dr Thomasville GA 31792-6605 |
| Practice Telephone | 2295510083 |
| Mailing Telephone | 2295510083 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | MR. GREGORY HEMBREE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2292282853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CCSG, INC. | 12122 99th Ave Ne, Arlington, WA 98223-8852 |
| Street Address |
116 MIMOSA DR |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761205 | James Arthur Holland | Internal Medicine | 116 Mimosa Dr, Thomasville, GA 31792-6605 | 2005-09-20 |
| 1033282231 | South Georgia Urology Group, P. C. | Urology | 116 Mimosa Dr, Suite 2, Thomasville, GA 31792-6605 | 2006-11-16 |
| 1124072053 | Radiation Oncologists South East, P.C. | Radiology | 116 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-05-22 |
| 1003889825 | Allen R Lybrook | Nurse Practitioner | 116 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-02-10 |
| 1053392217 | Jerry Steven Johnson | Radiology | 116 Mimosa Dr, Thomasville, GA 31792-6605 | 2005-11-07 |
| 1407837669 | David Andrew Saunders | Radiology | 116 Mimosa Dr, Thomasville, GA 31792-6605 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659716678 | Cornerstone Health Care Pa | Internal Medicine | 1219 Lexington Avenue, Suite C, Thomasville, NC 27360-2784 | 2013-05-03 |
| 1073515300 | William W Ellis | Internal Medicine | 100 Mimosa Dr Fl 2, Thomasville, GA 31792-6676 | 2005-05-31 |
| 1306152855 | Pranav Diwan | Internal Medicine | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2010-08-22 |
| 1962667931 | Adam Thomas Marler | Internal Medicine | 100 Mimosa Dr Fl 2, Thomasville, GA 31792-6676 | 2008-07-18 |
| 1952519670 | Christopher Ladale Daniels | Internal Medicine | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2007-05-18 |
| 1124194055 | Cardiology Consultants of South Georgia, PC | Internal Medicine | 100 Mimosa Dr Fl 2, Thomasville, GA 31792-6676 | 2006-11-24 |
| 1194734301 | Byron C Sizemore | Internal Medicine | 100 Mimosa Dr, 2nd Floor, Thomasville, GA 31792-6676 | 2006-08-05 |
| 1396703237 | Forsyth Medical Group, LLC | Internal Medicine | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2006-05-02 |
| 1295700870 | Blane Wesley Yelton Jr. | Internal Medicine | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2006-02-17 |
| 1336111301 | Usman A Khawaja | Internal Medicine | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2006-02-03 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on CCSG, INC..
| 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.