ARCHBOLD MEDICAL GROUP (NPI# 1346557717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346557717 |
| Entity Type | Organization |
| Organization Name | ARCHBOLD MEDICAL GROUP |
| Other Organization Name | SOUTH GEORGIA SURGICAL ASSOCIATES |
| Practice Address |
900 Cairo Rd Thomasville GA 31792-4255 |
| Mailing Address |
1180 5th St Se Cairo GA 39828-3141 |
| Practice Telephone | 2292275104 |
| Practice Fax Number | 2292275187 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | CHARLES HIGHTOWER (SR. VP/CFO) |
| Authorized Official Telephone | 2292282000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Georgia Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912335308 | Archbold Medical Group | Clinic/Center | 1309 W Screven St, Quitman, GA 31643-1819 | 2013-10-22 |
| 1609215680 | Archbold Medical Group | Specialist | 706 S Broad St, Thomasville, GA 31792-6107 | 2013-06-23 |
| 1265798185 | Archbold Medical Group | Internal Medicine | 1090 5th St Se, Cairo, GA 39828-3139 | 2012-04-04 |
| 1598057655 | Archbold Medical Group | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-05-09 |
| 1104910520 | Archbold Medical Group | Neurological Surgery | 704 South Broad Street, Thomasville, GA 31792-6107 | 2006-10-02 |
| 1124051040 | Archbold Medical Group | Family Medicine | 555 N Jefferson St, Monticello, FL 32344-2060 | 2006-07-07 |
| Street Address |
900 CAIRO RD |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-4255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831353036 | Archbold Medical Group, Inc. | Family Medicine | 900 Cairo Rd, Thomasville, GA 31792-4255 | 2008-07-16 |
| 1033564331 | Sandra Rozier | Nurse Practitioner | 900 Cairo Rd, Thomasville, GA 31792-4255 | 2016-04-25 |
| 1548529290 | Stephanie Greathouse Caviness | Physician Assistant | 900 Cairo Rd, Thomasville, GA 31792-4255 | 2012-05-15 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710283098 | James Llewellyn Story Jr. | Surgery | 262 Saddlebrook Plantation, Thomasville, GA 31757-1762 | 2011-02-02 |
| 1558469981 | Albert I Richardson II | Surgery | 1019 E Jackson St, Thomasville, GA 31792-4789 | 2006-09-20 |
| 1861483844 | Claudiu Adrian Cimpean | Surgery | 1219 Lexington Ave, Suite A, Thomasville, NC 27360-3494 | 2005-10-31 |
| 1487649448 | Gary R Kania | Surgery | 33650 Highway 43, Suite100, Thomasville, AL 36784-3305 | 2005-09-15 |
| 1649530676 | Joey Allen Jarrard | Surgery | 100 Mimosa Dr Fl 3, Thomasville, GA 31792 | 2012-05-24 |
| 1598057655 | Archbold Medical Group | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-05-09 |
| 1760771356 | Mary Kathryn Hanisee | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-04-04 |
| 1376832261 | Cianna Pender | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-03-31 |
| 1790094753 | Owen Robert Kieran | Surgery | 100 Mimosa Drive, 3rd Floor, Thomasville, GA 31792 | 2010-09-24 |
| 1427008374 | Steven J Muscoreil | Surgery | 1219 Lexington Ave, Suite A, Thomasville, NC 27360-2870 | 2006-05-11 |
| Find all providers in THOMASVILLE | ||||
| 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.