BRC MEDHEALTH (NPI# 1689222747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689222747 |
| Entity Type | Organization |
| Organization Name | BRC MEDHEALTH |
| Practice Address |
962 Forest Gln Jonesboro GA 30238-8829 |
| Mailing Address |
1415 Highway 85 N Ste 108 Fayetteville GA 30214-7738 |
| Practice Telephone | 7702318568 |
| Practice Fax Number | 6784892348 |
| Mailing Telephone | 4703014563 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | MS. BARBARA R CLARK (NURSE PRACTITIONER) |
| Authorized Official Telephone | 7702318568 |
| Authorized Official Credential | APRN FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
962 FOREST GLN |
| City | JONESBORO |
| State | GA |
| Zip Code | 30238-8829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114058203 | Barbara R. Clark | Nurse Practitioner | 962 Forest Gln, Jonesboro, GA 30238-8829 | 2007-03-08 |
| 1033240130 | First Assisting Solutions Inc | Registered Nurse | 962 Forest Gln, Jonesboro, GA 30238-8829 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366969636 | K&p Gentle Hnads Homecare | Home Health | 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 | 2017-08-27 |
| 1568991214 | Rehab Medical, Inc | Durable Medical Equipment & Medical Supplies | 8568 Highway 85, Jonesboro, GA 30238 | 2017-06-07 |
| 1821472077 | Surgivue First Assisting | Nurse Practitioner | 5865 Sinclair Way, Jonesboro, GA 30238 | 2015-07-17 |
| 1518384106 | Visions of Life Behavioral Health Services, Incorporated | Counselor | 754 Chapman Street, Jonesboro, GA 30238 | 2014-03-21 |
| 1942560206 | Terri L Lee | Counselor | 7899 Waterwheel Way, Jonesboro, GA 30238 | 2012-05-21 |
| 1265704985 | Visiting Homecare Support Services, Inc. | Home Health | 10886 Tara Village Way, Jonesboro, GA 30238 | 2012-01-27 |
| 1518297175 | Heavenly Assisted Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10555 Aspenwood Ct, Jonesboro, GA 30238 | 2010-01-05 |
| 1649419821 | Carmen Melton Douglas | Speech-Language Pathologist | 10354 Shepperton Court, Jonesboro, GA 30238 | 2009-02-12 |
| 1205050259 | Caryn Ann Grzesiakowski | Chiropractor | 809 Flint River Road, Suite #4, Jonesboro, GA 30238 | 2007-04-12 |
| 1548325483 | Janet Musser Granski | Social Worker | 110 North Bend Court, Jonesboro, GA 30238 | 2006-12-22 |
| Find all providers in zip 30238 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588118608 | Integrity Medical Consulting of Jonesboro | Clinic/Center | 616 Southwest Dr, Jonesboro, AR 72401-5859 | 2016-08-05 |
| 1194876730 | Wendy Spanos, M.d., P.a. | Clinic/Center | 1107 E Matthews Ave Ste 103, Jonesboro, AR 72401-4331 | 2007-01-12 |
| 1982684825 | University of Arkansas for Medical Sciences | Clinic/Center | 311 E. Matthews, Jonesboro, AR 72401 | 2006-01-18 |
| 1205467123 | Spartan Health & Fitness | Clinic/Center | 2007 E Nettleton Ave Ste B, Jonesboro, AR 72401-5286 | 2020-01-29 |
| 1548616394 | Business & Technology Outreach Corporation | Clinic/Center | 7130 Mount Zion Blvd Ste 7, Jonesboro, GA 30236-2566 | 2016-05-11 |
| 1619381407 | Daniel Bennett Md Pa | Clinic/Center | 1811 Executive Sq, Jonesboro, AR 72401-6086 | 2014-06-19 |
| 1952667628 | Uni-one Medical Clinic LLC | Clinic/Center | 300 N Main St, Suite 306, Jonesboro, GA 30236-3296 | 2012-04-07 |
| 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 | ||||
Please comment or provide details below to improve the information on BRC MEDHEALTH.
| 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.