WAYNE MEMORIAL HOSPITAL PHARMACY RETAIL (NPI# 1649650656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649650656 |
| Entity Type | Organization |
| Organization Name | WAYNE MEMORIAL HOSPITAL PHARMACY RETAIL |
| Practice Address |
865 S 1st St Jesup GA 31545-0210 |
| Practice Telephone | 9125303367 |
| Practice Fax Number | 9125303370 |
| Mailing Telephone | 9125303367 |
| Mailing Fax Number | 9125303370 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | DR. ELIZABETH HENDRIX GORSE (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9125303367 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | PHRE010123 | GA | Hospitals |
| Street Address |
865 S 1ST ST |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770578999 | Hospital Authority of Wayne County, Georgia | General Acute Care Hospital | 865 S 1st St, Jesup, GA 31545-0210 | 2005-09-14 |
| 1205457264 | Beth A Lewis | Nurse Practitioner | 865 S 1st St, Jesup, GA 31545-0210 | 2020-04-30 |
| 1295378313 | Antwan Lajunne Baker | Clinical Nurse Specialist | 865 S 1st St, Jesup, GA 31545-0210 | 2019-10-21 |
| 1285285452 | Shamrock Anesthesia Associates PC | Anesthesiology | 865 S 1st St, Jesup, GA 31545-0210 | 2019-09-27 |
| 1811548084 | Wayne County Anesthesia Associates PC | Anesthesiology | 865 S 1st St, Jesup, GA 31545-0210 | 2019-09-27 |
| 1104280668 | Krystal V Garcia | Emergency Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2016-04-11 |
| 1396140497 | Advanced Medical Resources of Wayne County, LLC | Internal Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2014-10-31 |
| 1073864625 | Elisha Marchette Dansby | Nurse Practitioner | 865 S 1st St, Jesup, GA 31545-0210 | 2012-09-23 |
| 1912256892 | Shenique Anderson | Family Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2012-09-06 |
| 1275703985 | Hospital Authority of Wayne County Georgia | Hospitalist | 865 S 1st St, Jesup, GA 31545-0210 | 2008-03-10 |
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| 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 |
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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 |
|---|---|---|---|---|
| 1770578999 | Hospital Authority of Wayne County, Georgia | General Acute Care Hospital | 865 S 1st St, Jesup, GA 31545-0210 | 2005-09-14 |
| 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.