MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C (NPI# 1447739545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447739545 |
Entity Type | Organization |
Organization Name | MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C |
Other Organization Name | DOT FOODS GA FAMILY HEALTH CENTER |
Practice Address |
1122 North St W Vidalia GA 30474-3214 |
Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
Practice Telephone | 9125378488 |
Practice Fax Number | 9125377303 |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-08-09 |
Authorized Official Name | DR. JAMES MICHAEL THIEL (PRESIDENT) |
Authorized Official Telephone | 6154686248 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
DOT Foods GA Family Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174154496 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2305 Abutment Rd, Dalton, GA 30721-4881 | 2020-01-27 |
1447881768 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2225 S Hamilton St, Dalton, GA 30721-4975 | 2020-01-27 |
1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
1881173821 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 809 E 11th Ave, Cordele, GA 31015-3422 | 2018-08-10 |
1073092169 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 342 E Brazell St, Reidsville, GA 30453-5046 | 2018-08-09 |
1114406295 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 801 W Barnard St, Glennville, GA 30427-3030 | 2018-08-09 |
1588143663 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 21971 Us Highway 319 N, Coolidge, GA 31738-3743 | 2018-08-09 |
1073090791 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1110 Farr Rd Ste C, Columbus, GA 31907-8627 | 2018-07-25 |
1891207536 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 107 E Star St, Bethlehem, GA 30620-2119 | 2017-11-03 |
1407308711 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 173 W Savannah St, Clayton, GA 30525-5096 | 2016-11-03 |
Street Address |
1122 NORTH ST W |
City | VIDALIA |
State | GA |
Zip Code | 30474-3214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
Find all providers in zip 30474 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821413535 | Living Well Family Clinic LLC | Clinic/Center | 1643 Carter St, Suite 1, Vidalia, LA 71373-3156 | 2014-03-04 |
1962826511 | Accordia Healthcare LLC | Clinic/Center | 3193 E 1st St, Vidalia, GA 30474-8830 | 2014-02-18 |
1316251051 | Riverpark Primary Health Clinic, LLC. | Clinic/Center | 107 Front Street, Vidalia, LA 71373 | 2010-08-05 |
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1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
1528673514 | Safe Haven Medical Services | Clinic/Center | 444 Racetrack Rd, Mcdonough, GA 30252-6837 | 2020-09-15 |
1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
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.