4FRONT HEALTHCARE OF MIDDLE GEORGIA, LLC (NPI# 1316317993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316317993 |
| Entity Type | Organization |
| Organization Name | 4FRONT HEALTHCARE OF MIDDLE GEORGIA, LLC |
| Practice Address |
682 1st St Macon GA 31201 |
| Mailing Address |
7505 Waters Ave Ste F8 Savannah GA 31406-3822 |
| Practice Telephone | 8773138928 |
| Practice Fax Number | 8778573217 |
| Mailing Telephone | 8773138928 |
| Mailing Fax Number | 8778573217 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2018-07-06 |
| Authorized Official Name | RAINA OWENS (SENIOR VP) |
| Authorized Official Telephone | 9122263035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
682 1ST ST |
| City | MACON |
| State | GA |
| Zip Code | 31201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| 1891190674 | Curepoint LLC | Specialist | 2406 Bellevue Avenue Suite #7, Dublin, GA 31201 | 2014-10-23 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376093534 | Compassus Op of Georgia II LLC | Hospice Care, Community Based | 1100 Northside Drive, Macon, GA 31210-2280 | 2016-10-11 |
| 1609210491 | Caresouth Hospice, LLC | Hospice Care, Community Based | 1760 Bass Rd Ste 202, Macon, GA 31210 | 2013-04-23 |
| 1003934795 | Ideal Home Care of Ga | Hospice Care, Community Based | 182 Riley Ave Ste F2, Macon, GA 31204-0778 | 2007-03-27 |
| 1609900364 | Optum Palliative and Hospice Care, Inc | Hospice Care, Community Based | 4875 Riverside Dr Ste 104, Macon, GA 31210-1149 | 2007-03-15 |
| 1760557953 | The Medical Center of Central Georgia Inc. | Hospice Care, Community Based | 6261 Peake Road, Macon, GA 31210-8074 | 2006-11-22 |
| 1659319630 | Southerncare, Inc. | Hospice Care, Community Based | 5233 Riverside Drive, Suite E, Macon, GA 31210-1253 | 2006-06-03 |
| 1235177205 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 6060 Lakeside Commons Dr, Macon, GA 31210-5778 | 2006-06-03 |
| 1912968355 | Hillcrest Hospice, Inc | Hospice Care, Community Based | 115 Arkwright Lndg, Macon, GA 31210-1364 | 2006-03-28 |
| 1639177397 | Hospice Care Options Inc | Hospice Care, Community Based | 486 New St, Macon, GA 31201 | 2005-07-07 |
| 1255417432 | Jackson Lake Hospice Inc | Hospice Care, Community Based | 128 Brandon Way, Macon, GA 31210 | 2006-10-31 |
| Find all providers in MACON | ||||
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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.