PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC (NPI# 1316323785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316323785 |
| Entity Type | Organization |
| Organization Name | PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC |
| Practice Address |
11168 Columbia St Suite B Blakely GA 39823-3474 |
| Practice Telephone | 2297238300 |
| Mailing Telephone | 2297238300 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | JOSEPH S MCNULTY III (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154669554 | Pioneer Health Services of Early County, LLC | Clinic/Center | 104 Maxwell St Se, Arlington, GA 39813-8714 | 2013-01-21 |
| 1548534910 | Pioneer Health Services of Early County, LLC | Psychiatric Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2012-03-02 |
| 1205110814 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11168 Columbia St, Blakely, GA 39823-3474 | 2011-09-30 |
| 1588974521 | Pioneer Health Services of Early County, LLC | Ambulance | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-10-08 |
| 1386952141 | Pioneer Health Services of Early County, LLC | Skilled Nursing Facility | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-09-15 |
| 1144535212 | Pioneer Health Services of Early County, LLC | Medicare Defined Swing Bed Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 1699080762 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 1104131267 | Pioneer Health Services of Early County, LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 1720393895 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11045 Columbia St, Suite B, Blakely, GA 39823-3447 | 2010-08-13 |
| Street Address |
11168 COLUMBIA ST SUITE B |
| City | BLAKELY |
| State | GA |
| Zip Code | 39823-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912945288 | Angela B Townsend | Nurse Practitioner | 11168 Columbia St, Blakely, GA 39823-3474 | 2006-06-02 |
| 1205110814 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11168 Columbia St, Blakely, GA 39823-3474 | 2011-09-30 |
| 1386675817 | Early Memorial Hospital | Clinic/Center | 11168 Columbia St, Suite B, Blakely, GA 39823-3474 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679922546 | Donna Lashawn Mells-mccoy | Social Worker | 89 Balcom Ave, Blakely, GA 39823 | 2016-06-10 |
| 1063562221 | Self Discovery Counseling and Consulting Inc | Counselor | 116 South Main St., Blakely, GA 39823 | 2007-01-11 |
| 1619046786 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 313 E Tu Nake Place, Blakely, GA 39823 | 2006-11-06 |
| 1780607754 | Primary Care of Southwest Georgia, Inc. | Nurse Practitioner | 360 College Street, Blakely, GA 39823 | 2006-07-25 |
| 1588014807 | Dave Stewart | Family Medicine | 360 College St, Blakely, GA 39823 | 2016-06-17 |
| 1497805063 | Miller County Hospital and Miller Nursing Home | Clinic/Center | 11045 Columbia St, Blakely, GA 39823 | 2007-01-12 |
| 1437345006 | Ralph Boyd Phillips Jr. | Chiropractor | 12221 Columbia Road, Blakely, GA 39823-0231 | 2007-09-18 |
| 1649753773 | Kelly Diane Mccarley | Nurse Practitioner | 1908 Tarver Dr, Blakely, GA 39823-1540 | 2018-09-14 |
| 1437585635 | Marrian Alexander | Nurse Practitioner | 1924 Tarver Dr, Blakely, GA 39823-1540 | 2013-09-19 |
| 1508403049 | Rachel Lewis | Specialist/Technologist | 326 Tom Sawyer Dr, Blakely, GA 39823-1559 | 2019-12-03 |
| Find all providers in zip 39823 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893765 | Lifebrite Hospital Group, LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2019-07-24 |
| 1598297590 | Lifebrite Hospital Group of Early LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-03-29 |
| 1104131267 | Pioneer Health Services of Early County, LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 1548214018 | Early Memorial Hospital | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046425 | Rasheeda Brown | General Acute Care Hospital | 362 E.g. Miles Parkway, Hinesville, GA 31310-0919 | 2016-03-22 |
| 1073927117 | Polk Medical Center, Inc | General Acute Care Hospital | 2360 Rockmart Hwy, Cedartown, GA 30125-6029 | 2014-06-17 |
| 1174800114 | Emory University Hospital | General Acute Care Hospital | 1355 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2011-11-04 |
| 1013211564 | Grady Health System | General Acute Care Hospital | 180 Victoria Dr, Fayetteville, GA 30214-1163 | 2010-12-26 |
| 1417264292 | Angela Marie Barco | General Acute Care Hospital | 3486 Peach Orchard Rd Ste 200, Augusta, GA 30906 | 2010-09-01 |
| 1780880583 | Wheeler County Hospital | General Acute Care Hospital | 111 North 3rd Street, Glenwood, GA 30428 | 2007-06-27 |
| 1609078047 | Medical College of Georgia | General Acute Care Hospital | 1120 15th St # Baa-5407, Augusta, GA 30912-0004 | 2007-06-05 |
| 1982821971 | Carl Vison Va Medical Center | General Acute Care Hospital | 48 Blueberry Farm Road, Adrian, GA 31002 | 2007-04-19 |
| 1326191180 | Professional Resources Management of Rabun, LLC | General Acute Care Hospital | 162 Legacy Pt, Clayton, GA 30525-5354 | 2007-01-18 |
| 1184771586 | Lower Oconee Community Hospital Inc | General Acute Care Hospital | 111 N 3rd Street, P O Bx 398, Glenwood, GA 30428 | 2007-01-05 |
| Find all providers with the same taxonomy | ||||
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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.