ARCHBOLD HEALTH SERVICES, INC. (NPI# 1316997760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316997760 |
| Entity Type | Organization |
| Organization Name | ARCHBOLD HEALTH SERVICES, INC. |
| Other Organization Name | ARCHBOLD HOME DIALYSIS SERVICES |
| Practice Address |
112 Mimosa Dr Thomasville GA 31792-6605 |
| Mailing Address |
Po Box 620 Thomasville GA 31799-0620 |
| Practice Telephone | 2292282783 |
| Practice Fax Number | 2295518732 |
| Mailing Telephone | 2292282783 |
| Mailing Fax Number | 2295518732 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM CLAY CAMPBELL (EXEC. VICE PRESIDENT) |
| Authorized Official Telephone | 2292282200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
ESRD001121 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00367881A | 05 |
| Other Name | Type Code |
|---|---|
| Archbold Home Dialysis Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700835105 | Archbold Health Services, Inc. | Nursing Care | 400 Old Albany Rd, Thomasville, GA 31792-4013 | 2006-05-10 |
| 1588613434 | Archbold Health Services, Inc. | Home Health | 117 S Donalson St, Bainbridge, GA 39817-5901 | 2006-05-09 |
| 1184673030 | Archbold Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 2705 E. Pinetree Blvd, Thomasville, GA 31792-4875 | 2006-05-09 |
| 1326026782 | Archbold Health Services, Inc. | Hospice Care, Community Based | 114 A Mimosa Dr, Thomasville, GA 31792-6679 | 2006-01-05 |
| 1265410633 | Archbold Health Services, Inc. | Home Health | 400 Old Albany Road, Thomasville, GA 31792-4013 | 2006-01-05 |
| 1588199004 | Archbold Health Services, Inc. | Pharmacy | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2017-04-21 |
| Street Address |
112 MIMOSA DR |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215924 | Kristin F Deutsch | Nurse Practitioner | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2005-06-16 |
| 1356987457 | Jessica Brown | Emergency Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2019-11-23 |
| 1295377000 | Jessica Wilson Cashwell | Nurse Practitioner | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2019-10-14 |
| 1720452246 | Archbold Medical Group, Inc | Internal Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2015-11-20 |
| 1700179983 | Aymen Yousuf Bukannan | Internal Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2011-05-23 |
| 1780826750 | Melissa Ann Simpson | Nurse Practitioner | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2009-04-06 |
| 1548329410 | Digestive Disease Center of South Georgia, PC | Specialist | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-12-07 |
| 1073698031 | Ronald Lindquist | Physician Assistant | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-10-26 |
| 1568544674 | Scott D Farquhar | Internal Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-10-19 |
| 1801879358 | James Alexander Sinnott | Internal Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2005-11-29 |
| Find all providers in the same location | ||||
| 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 | 332BD1200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Dialysis Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1326354200 | Royal Palms Health Care | Durable Medical Equipment & Medical Supplies | 309 Milton Ave, Alpharetta, GA 30009-1513 | 2010-08-30 |
| 1083874093 | Pd-uwear, LLC | Durable Medical Equipment & Medical Supplies | 1960 Oakwood Dr, Stockbridge, GA 30281-5061 | 2008-06-12 |
| 1437377934 | All Dialysis Services | Durable Medical Equipment & Medical Supplies | 46a S Broad St, Winder, GA 30680-2038 | 2007-04-23 |
| 1124246814 | American Renal Care Inc | Durable Medical Equipment & Medical Supplies | 1999 Parker Ct, Suite B, Stone Mountain, GA 30087-3474 | 2007-04-20 |
| 1790841203 | Az Global Marketing Company, Inc. | Durable Medical Equipment & Medical Supplies | 1035 Cobb Industrial Dr, Suite A, Marietta, GA 30066-6623 | 2006-12-29 |
| 1558360933 | U Save It Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 676 Alston St, Richland, GA 31825-6043 | 2005-07-19 |
| 1093197055 | Kay's Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 950 Herrington Rd, Ste C175, Lawrenceville, GA 30044-7217 | 2015-06-25 |
| 1467659144 | Gwinnett Supply Company LLC | Durable Medical Equipment & Medical Supplies | 605 Old Norcross Rd, Lawrenceville, GA 30046-4315 | 2007-06-27 |
| City | THOMASVILLE |
| Zip Code | 31792 |
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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.