SCREVEN COUNTY FAMILY HEALTH CENTER, LLC (NPI# 1689950594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689950594 |
| Entity Type | Organization |
| Organization Name | SCREVEN COUNTY FAMILY HEALTH CENTER, LLC |
| Other Organization Name | SCREVEN COUNTY FAMILY HEALTH CENTER, PC |
| Practice Address |
215 Mims Rd Suite 209-c Sylvania GA 30467-1994 |
| Mailing Address |
210 East Derenne Avenue Attn.: Alia Mike Savannah GA 31405 |
| Practice Telephone | 9125645977 |
| Practice Fax Number | 9125641259 |
| Mailing Telephone | 9126441626 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | MR. ROBERT GUENTHNER (SECRETARY OF SCREVEN COUNTY HOSPITA) |
| Authorized Official Telephone | 3126278247 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Screven County Family Health Center, PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326307901 | Screven County Family Health Center, LLC | Surgery | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2012-05-16 |
| 1407122138 | Screven County Family Health Center, LLC | Surgery | 5354 Reynolds St, Suite 202, Savannah, GA 31405-6007 | 2012-03-27 |
| 1265702757 | Screven County Family Health Center, LLC | Surgery | 594 S Columbia Ave, # 100, Rincon, GA 31326-9094 | 2011-12-30 |
| 1124303177 | Screven County Family Health Center, LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2011-10-20 |
| 1508141540 | Screven County Family Health Center, LLC | Surgery | 960 College Ave, Millen, GA 30442-1634 | 2011-10-20 |
| 1841432044 | Screven County Family Health Center, LLC | Family Medicine | 105 Rocky Ford Rd, Sylvania, GA 30467-2027 | 2009-04-02 |
| Street Address |
215 MIMS RD SUITE 209-C |
| City | SYLVANIA |
| State | GA |
| Zip Code | 30467-1994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245201094 | Screven County Hospital | General Acute Care Hospital | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-01-30 |
| 1174917157 | Southland Optim Screven Emergency Medical Services LLC | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2015-03-27 |
| 1083915524 | Screven County Hospital LLC | Medicare Defined Swing Bed Unit | 215 Mims Rd, Sylvania, GA 30467-1994 | 2010-11-16 |
| 1225339898 | Screven County Hospital, LLC | General Acute Care Hospital | 215 Mims Rd, Sylvania, GA 30467-1994 | 2010-11-12 |
| 1740448885 | Anesthesia Providers of Augusta, Inc | Registered Nurse | 215 Mims Rd, Sylvania, GA 30467-1994 | 2008-05-27 |
| 1760516348 | Orthopedic Center PC | Orthopaedic Surgery | 215 Mims Rd, Sylvania, GA 30467-1994 | 2007-03-15 |
| 1356411474 | Kristi Shook Hunter | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-11-08 |
| 1952330946 | William Kent | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-07-02 |
| 1689603672 | Marian Lane | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-07-02 |
| 1184696429 | Shannon M Thomas | Nurse Anesthetist, Certified Registered | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659884237 | Rachel Oglesby Edenfield | Nurse Practitioner | 1235 Edenfield Road, Sylvania, GA 30467 | 2017-11-06 |
| 1841739984 | Under The Shadows Private Home Care | Exclusive Provider Organization | 208 Curtis Street, Sylvania, GA 30467 | 2017-02-22 |
| 1023357324 | Jenkins County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| 1205195476 | Aacademy Adult Day &seniorliiving Facilityllc | Custodial Care Facility | 168 Davedeharahara Dr, Sylvania, GA 30467 | 2012-05-09 |
| 1407010689 | Screven County Family Medicine | Family Medicine | 215 Mims Road, Sylvania, GA 30467 | 2008-07-16 |
| 1518127687 | Sherma Peter | Family Medicine | 213 Mims Road, Sylvania, GA 30467 | 2008-06-12 |
| 1508925454 | Mppg, Inc. | Family Medicine | 105 Rocky Ford Road, Sylvania, GA 30467 | 2006-12-06 |
| 1891337572 | Allan Kipngeno | Pharmacist | 305 W Ogeechee St, Sylvania, GA 30467 | 2019-10-14 |
| 1770822066 | Screven County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| 1588903884 | Tattnall Hospital Company, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| Find all providers in zip 30467 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023357324 | Jenkins County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| 1619970548 | Patrick W. White | Surgery | 5700 Monroe St Unit 101, Sylvania, OH 43560-2779 | 2005-05-24 |
| 1659374502 | Joseph J Sferra | Surgery | 5700 Monroe St Unit 106, Sylvania, OH 43560-2779 | 2005-05-24 |
| 1912900036 | Peter F Klein | Surgery | 5700 Monroe St Unit 210, Sylvania, OH 43560-2737 | 2005-05-23 |
| 1831526730 | Promedica Central Physicians LLC | Surgery | 5308 Harroun Rd, Suite 180, Sylvania, OH 43560-2114 | 2013-10-09 |
| 1699113449 | Chandan Das | Surgery | 5700 Monroe St Unit 106, Sylvania, OH 43560-2779 | 2013-06-13 |
| 1801232202 | Sarah Nicole Pratt | Surgery | 5700 Monroe St Unit 101, Sylvania, OH 43560-2779 | 2013-05-13 |
| 1770822066 | Screven County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| 1588903884 | Tattnall Hospital Company, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| 1851557052 | Albert Weijeich Tsang | Surgery | 5800 Monroe St, Building G, Sylvania, OH 43560-2263 | 2008-08-06 |
| Find all providers in SYLVANIA | ||||
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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.