DIVERSITY HEALTH CENTER INC. (NPI# 1518508613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518508613 |
| Entity Type | Organization |
| Organization Name | DIVERSITY HEALTH CENTER INC. |
| Practice Address |
244 Peachtree St Jesup GA 31545-0212 |
| Practice Telephone | 9128772227 |
| Practice Fax Number | 9128772332 |
| Mailing Telephone | 9128772227 |
| Mailing Fax Number | 9128772332 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | MRS. STEPHANIE JONES-HEATH (CEO) |
| Authorized Official Telephone | 9123183947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770056962 | Diversity Health Center Inc. | Clinic/Center | 301 Fraser Dr, Hinesville, GA 31313-3712 | 2019-01-10 |
| 1053884296 | Diversity Health Center Inc. | Clinic/Center | 213 N Mcdonald St Ste C, Ludowici, GA 31316-6075 | 2019-01-10 |
| 1770107286 | Diversity Health Center Inc. | Pharmacy | 244 Peachtree St, Jesup, GA 31545-0212 | 2020-06-01 |
| 1326594714 | Diversity Health Center Inc. | Clinic/Center | 502 E General Stewart Way Ste A, Hinesville, GA 31313-2643 | 2016-08-26 |
| Street Address |
244 PEACHTREE ST |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841254976 | Thomas Michael Amburgey | General Practice | 244 Peachtree St, Jesup, GA 31545-0212 | 2006-04-14 |
| 1770107286 | Diversity Health Center Inc. | Pharmacy | 244 Peachtree St, Jesup, GA 31545-0212 | 2020-06-01 |
| 1407809734 | Jodi Cheree Spires | Counselor | 244 Peachtree St, Jesup, GA 31545-0212 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIVERSITY HEALTH CENTER INC..
| 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.