CARL VINSON VA MEDICAL CENTER (NPI# 1619193174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619193174 |
| Entity Type | Organization |
| Organization Name | CARL VINSON VA MEDICAL CENTER |
| Practice Address |
1826 Veterans Blvd Dublin GA 31021-3620 |
| Mailing Address |
675 Marsh Ln Dublin GA 31021-1488 |
| Practice Telephone | 4782721210 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MEENA RAM (CHIEF PRIMARY CARE) |
| Authorized Official Telephone | 4782721210 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 001567 | GA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760670731 | Carl Vinson Va Medical Center | Military Hospital | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2007-10-04 |
| Street Address |
1826 VETERANS BLVD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848924 | Kathleen Lindauer Greer | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2005-08-12 |
| 1396351359 | Lanira Postell | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-09-16 |
| 1780298398 | Jane Frances Helsing | Recreation Therapist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-09-01 |
| 1154931996 | Maria Danielle Hall | Speech-Language Pathologist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-08-06 |
| 1093325060 | Jessica Williams | Counselor | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-08-05 |
| 1528683083 | Jean Elizabeth Evans | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-06-10 |
| 1518581628 | Georgette Lacosta Brown | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-06-04 |
| 1760020150 | Lauren Avery | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-12-16 |
| 1285279737 | Mia Denise Pickard | Nurse Practitioner | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-11-07 |
| 1083258057 | Shannon Nayasha Johnson | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992121776 | Laura Jane Durcan | General Acute Care Hospital | Beaumont Hospital, Beaumont, Dublin, IRELAND D 11 | 2014-03-17 |
| 1366626038 | Pharmasource Healthcare Inc | General Acute Care Hospital | 4936 Blazer Pkwy, Dublin, OH 43017-3305 | 2007-12-18 |
| 1649685231 | Sharon Wright | General Acute Care Hospital | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2014-06-23 |
| 1518159771 | Rph Care, Inc. | General Acute Care Hospital | 6631 Commerce Pkwy, Suite Q, Dublin, OH 43017-3239 | 2007-08-13 |
| 1801937008 | Ohiohealth Corporation | General Acute Care Hospital | 7500 Hospital Dr, Dublin, OH 43016-8518 | 2007-02-09 |
| 1568549681 | Fairview Park, Limited Partnership | General Acute Care Hospital | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2006-11-01 |
| 1285688234 | Fairview Park, Limited Partnership | General Acute Care Hospital | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2006-05-22 |
| 1427002104 | Fairview Park, Limited Partnership | General Acute Care Hospital | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2006-05-19 |
| 1033168257 | Dublin Vamc | General Acute Care Hospital | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
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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.