MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C


Address: 1122 North St W, Vidalia, GA 30474-3214
Phone: 9125378488

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
DOT Foods GA Family Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1122 NORTH ST W
City VIDALIA
State GA
Zip Code 30474-3214

Providers in the same zip code

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 Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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

Competitor

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City VIDALIA
Zip Code 30474

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Dataset Information

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.

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