TY COBB REGIONAL MEDICAL CENTER, INC (NPI# 1538425210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538425210 |
| Entity Type | Organization |
| Organization Name | TY COBB REGIONAL MEDICAL CENTER, INC |
| Practice Address |
367 Clearcreek Parkway Lavonia GA 30553 |
| Mailing Address |
Po Box 788 Lavonia GA 30553-0788 |
| Practice Telephone | 7062451270 |
| Practice Fax Number | 7062451274 |
| Mailing Telephone | 7062451270 |
| Mailing Fax Number | 7062451274 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |
| Authorized Official Name | MRS. DONNA D TONEY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 7062451270 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | TY COBB REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHH007925 | GA | Suppliers |
| Street Address |
367 CLEARCREEK PARKWAY |
| City | LAVONIA |
| State | GA |
| Zip Code | 30553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467710152 | Hartwell Emergency Physicians LLC | Emergency Medicine | 367 Clear Creek Rd, Lavonia, GA 30553 | 2012-05-01 |
| 1326304486 | Ty Cobb Regional Medical Center LLC | General Acute Care Hospital | 367 Clear Creek Parkway, Lavonia, GA 30553 | 2012-04-03 |
| 1558417006 | Dale Leonard Stone | Dentist | 5771 Vickery St, Lavonia, GA 30553 | 2007-01-26 |
| 1942366901 | Donna Morgan Riggins | Pharmacist | 12240 Augusta Rd, Riggins Pharmacy LLP, Lavonia, GA 30553 | 2006-12-27 |
| 1669840666 | Trinity Healthcare of Winston-salem, Inc. | Durable Medical Equipment & Medical Supplies | 29 Clear Creek Pkwy, Lavonia, GA 30553 | 2015-09-08 |
| 1568528529 | Gerald Harris Riggins | Pharmacist | 12240 Augusta Rd, Riggins Pharmacy LLP, Lavonia, GA 30553 | 2006-12-27 |
| 1730245796 | Riggins Pharmacy Inc | Pharmacy | 12240 Augusta Rd, Lavonia, GA 30553 | 2006-12-27 |
| 1063795573 | Medics of Northeast Georgia, Incorporated | Durable Medical Equipment & Medical Supplies | 13375 Jones St, Suite D, Lavonia, GA 30553-1147 | 2011-09-21 |
| 1215093430 | Child and Adolescent Medical Providers, P.C. | Pediatrics | 13375 Jones St Ste C, Lavonia, GA 30553-1147 | 2006-12-29 |
| 1487928701 | Franklin County Eye Care | Optometrist | 13375 Jones St, Suite B-2, Lavonia, GA 30553-1147 | 2012-03-05 |
| Find all providers in zip 30553 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730245796 | Riggins Pharmacy Inc | Pharmacy | 12240 Augusta Rd, Lavonia, GA 30553 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
| 1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| 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.