THE ORGANIC SOUTHERNER, LLC (NPI# 1376103069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376103069 |
| Entity Type | Organization |
| Organization Name | THE ORGANIC SOUTHERNER, LLC |
| Practice Address |
408 S West St Bainbridge GA 39819-3918 |
| Practice Telephone | 2293403009 |
| Practice Fax Number | 2293403009 |
| Mailing Telephone | 2923403009 |
| Mailing Fax Number | 2293403009 |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-07-14 |
| Authorized Official Name | MRS. MCKALE ASHLEY FLEMING (OWNER) |
| Authorized Official Telephone | 2297267597 |
| Authorized Official Credential | LMT, CBS, IHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
408 S WEST ST |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39819-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316507445 | Mckale Ashley Fleming | Nutritionist | 408 S West St, Bainbridge, GA 39819-3918 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
| 1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
| 1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
| 1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
| 1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
| 1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
| 1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
| 1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
| Find all providers in zip 39819 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1851909857 | 100 Percent Nutrition LLC | Clinic/Center | 8425 Waldrip Rd, Gainesville, GA 30506-5774 | 2020-07-16 |
| 1487271342 | Temak Telehealth | Clinic/Center | 635 Granville Ct, Atlanta, GA 30328-3445 | 2020-06-26 |
| 1992321301 | Hope Harbor Wellness LLC | Clinic/Center | 126 Enterprise Path Ste 208, Hiram, GA 30141-2654 | 2020-06-22 |
| 1447875307 | Georgia Palliative Services, LLC | Clinic/Center | 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928 | 2020-06-16 |
| 1548884000 | 2 Wolves Inc | Clinic/Center | 783 S Main St Ste 5, Cleveland, GA 30528-4519 | 2020-06-01 |
| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | BAINBRIDGE |
| Zip Code | 39819 |
Please comment or provide details below to improve the information on THE ORGANIC SOUTHERNER, LLC.
| 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.