MERIDIAN CORPORATE HEALTHCARE OF GEORGIA PC (NPI# 1437213709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437213709 |
| Entity Type | Organization |
| Organization Name | MERIDIAN CORPORATE HEALTHCARE OF GEORGIA PC |
| Other Organization Name | SOUTHWIRE FAMILY MEDICAL CENTER |
| Practice Address |
1128 S Park St Carrollton GA 30119-4450 |
| Mailing Address |
5500 Maryland Way Brentwood TN 37027-4948 |
| Practice Telephone | 7708360870 |
| Practice Fax Number | 7708361837 |
| Mailing Telephone | 8444077557 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-08-10 |
| Authorized Official Name | DR. JAMES M THIEL (DIRECTOR) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southwire Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952465056 | Meridian Corporate Healthcare of Georgia PC | Family Medicine | 184 Professional Dr Unit B, Baldwin, GA 30511-4012 | 2006-12-21 |
| 1750726360 | Meridian Corporate Healthcare of Georgia PC | Clinic/Center | 255 Prosperity Way Ne, Adairsville, GA 30103-4903 | 2013-05-09 |
| 1306196027 | Meridian Corporate Healthcare of Georgia PC | Clinic/Center | 584 Lanier Park Dr, Gainesville, GA 30501-2000 | 2012-09-11 |
| Street Address |
1128 S PARK ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30119-4450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669536835 | Daniel A Williams | Family Medicine | 1128 S Park St, Carrollton, GA 30119-4450 | 2006-12-21 |
| 1346856440 | Emelia Arthur Beam | Pharmacist | 1128 S Park St, Carrollton, GA 30117-4450 | 2020-09-23 |
| 1801171418 | Amy King Griffin | Pharmacist | 1128 S Park St, Carrollton, GA 30117-4450 | 2011-10-14 |
| 1952427866 | Julie R. Strickland | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-22 |
| 1831221464 | Loree Johnson Robinson | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-09 |
| 1073643425 | Cindy White Spruell | Pharmacist | 1128 S Park St, Carrollton, GA 30117-4450 | 2007-03-06 |
| 1265562656 | Walgreen Co. | Health Maintenance Organization | 1128 S Park St, Carrollton, GA 30117-4450 | 2007-03-06 |
| 1649300021 | Candler Lindsey Walls Jr. | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-06 |
| 1326178633 | Pam J Gordon | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548274582 | Martha Krickel Gibbs | Nurse Practitioner | Southwire Family Medical Ctr, 1128 Southpark Street, Carrollton, GA 30119-0001 | 2006-07-27 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428772 | Bowdon-mt Zion Primary Health Center Inc. | Family Medicine | 4248 Mount Zion Rd, Carrollton, GA 30117-7602 | 2018-12-16 |
| 1841761533 | Sewell Family Medicine and Urgent Care, P.C. | Family Medicine | 928 S Park St Ste H, Carrollton, GA 30117-4501 | 2018-12-06 |
| 1922515048 | Carrollton Primary Care Medicine Pllc | Family Medicine | 1809 Golden Trail Ct Ste 240, Carrollton, TX 75010-4667 | 2018-01-10 |
| 1598276610 | Healthpros Medical Center, Pllc | Family Medicine | 2548 Tarpley Rd, Carrollton, TX 75006-2328 | 2017-10-16 |
| 1912417858 | Akenjem Ebong Mba | Family Medicine | 1902 Country Club Dr Ste 160, Carrollton, TX 75006-5823 | 2017-10-05 |
| 1265783815 | Nirav A Patel | Family Medicine | 2761 E Trinity Mills Rd Ste 100, Carrollton, TX 75006-3507 | 2012-09-23 |
| 1275880163 | Lezlie Miller | Family Medicine | 3032 E Hebron Pkwy Ste 101, Carrollton, TX 75010-4465 | 2012-08-09 |
| 1265796049 | Carl R Fry | Family Medicine | 1020 Trump Rd Nw Ste 4, Carrollton, OH 44615-8423 | 2012-06-27 |
| 1679869317 | Harveer Singh Parmar | Family Medicine | 1212 N Josey Ln Ste 110, Carrollton, TX 75006-6103 | 2011-06-21 |
| 1215160197 | Jose P Parcon M D S C | Family Medicine | 727 9th St, Carrollton, IL 62016-1427 | 2009-08-26 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30119 |
Please comment or provide details below to improve the information on MERIDIAN CORPORATE HEALTHCARE OF GEORGIA PC.
| 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.