GEORGIA DEPARTMENT OF HUMAN RESOURCES (NPI# 1295897445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295897445 |
| Entity Type | Organization |
| Organization Name | GEORGIA DEPARTMENT OF HUMAN RESOURCES |
| Other Organization Name | EAST CENTRAL REGIONAL HOSPITAL |
| Practice Address |
3405 Mike Padgett Hwy Augusta GA 30906-3815 |
| Practice Telephone | 7067927021 |
| Mailing Telephone | 7067927021 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LYDIA WEISSER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7067927021 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHH004147 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00355737A | 05 |
| Other Name | Type Code |
|---|---|
| East Central Regional Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356586259 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1631 Valley Cir, Milledgeville, GA 31062-0001 | 2008-12-05 |
| 1609029925 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 138 Swint Ave Se, Milledgeville, GA 31061-3928 | 2008-10-30 |
| 1154597672 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 120 Daphney St Se, Milledgeville, GA 31061-4342 | 2008-05-05 |
| 1184895823 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 419 Moye Dr, Sandersville, GA 31082-7624 | 2008-03-21 |
| 1841487667 | Georgia Department of Human Resources | General Acute Care Hospital | 2400 Vinson Hwy, Milledgeville, GA 31062-0001 | 2007-09-25 |
| 1679614515 | Georgia Department of Human Resources | Clinic/Center | 1309 Redmond Rd Nw, Rome, GA 30165-1307 | 2007-02-12 |
| 1164583274 | Georgia Department of Human Resources | Case Management | 2 Peachtree St., 9th Fl., Atlanta, GA 30303-3142 | 2006-12-12 |
| 1568530798 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3533 Stafford St, Hephzibah, GA 30815-6625 | 2006-12-04 |
| 1366510067 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2311 Mura Dr, Augusta, GA 30906-4819 | 2006-12-01 |
| 1629146311 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3518 Snowden Dr, Hephzibah, GA 30815-6631 | 2006-12-01 |
| Street Address |
3405 MIKE PADGETT HWY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548288632 | Mona H Hanna | Psychiatry & Neurology | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2006-07-17 |
| 1912521394 | Cassandra Groth | Psychologist | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-06-02 |
| 1619536737 | David Armando Vivas Villarreal | Psychiatry & Neurology | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2019-06-12 |
| 1699261487 | Latasha R Ford | Nurse Practitioner | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2018-07-05 |
| 1548781453 | Tracy Casanova | Psychologist | 3405 Mike Padgett Hwy, Augusta, GA 30906 | 2017-06-30 |
| 1811448806 | Christina M Daniels | Nurse Practitioner | 3405 Mike Padgett Hwy, Augusta, GA 30906 | 2016-10-14 |
| 1528489523 | Laurie Ragatz | Psychologist | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2013-12-18 |
| 1396176145 | Linda Vitacco | Psychologist | 3405 Mike Padgett Hwy, Attention Patient Accounts, Augusta, GA 30906-3815 | 2013-12-04 |
| 1669809455 | Lynne Anne Daurelle | Psychologist | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2013-10-11 |
| 1255681243 | Maria Bratoeva | Nurse Practitioner | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2012-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487901476 | Au Medical Center, Inc. | Pharmacy | 1120 15th St # Bt1964, Augusta, GA 30912-0004 | 2012-08-08 |
| 1285924431 | T&j Enterprise LLC | Pharmacy | 1630 Ohio St, Augusta, KS 67010-2142 | 2011-04-08 |
| 1114012119 | Summerville Pharmacy | Pharmacy | 3087 Westwood Rd, Hani Mussad, Augusta, GA 30909 | 2006-10-04 |
| 1992800908 | Asklers Augusta Pharmacy N More Inc | Pharmacy | 108 South Webster, Augusta, MI 49012 | 2006-09-14 |
| 1861504706 | Maxwell House Pharmacy LLC | Pharmacy | 1002 Greene St, Augusta, GA 30901-2251 | 2006-08-31 |
| 1376558916 | Terese Inc | Pharmacy | 2529 Peach Orchard Rd, Augusta, GA 30906-2412 | 2006-07-30 |
| 1841222874 | Freds Stores of Tennessee Inc | Pharmacy | 1302 Highway 64 E, Augusta, AR 72006-9411 | 2006-07-07 |
| 1497791305 | Summerville Pharmacy Inc | Pharmacy | 2839 Central Ave, Augusta, GA 30909-3904 | 2006-06-20 |
| 1316987738 | Publix Super Markets Inc | Pharmacy | 2816 Washington Rd, Augusta, GA 30909-2199 | 2006-06-07 |
| 1881227601 | Janus Rx LLC | Pharmacy | 1721 Wrightsboro Rd, Augusta, GA 30904-4074 | 2020-02-20 |
| Find all providers in AUGUSTA | ||||
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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.