NEBA HEALTH, LLC (NPI# 1700210655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700210655 |
| Entity Type | Organization |
| Organization Name | NEBA HEALTH, LLC |
| Practice Address |
699 Broad St Suite 1000 Augusta GA 30901-1400 |
| Practice Telephone | 7064471076 |
| Mailing Telephone | 7064471076 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MR. EARL HOWARD MERRY (PRESIDENT) |
| Authorized Official Telephone | 7064471076 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEBA HEALTH, LLC | 699 Broad St Ste 1000, Augusta, GA 30901-1863 |
| Street Address |
699 BROAD ST SUITE 1000 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285193 | Au Health Imaging, LLC | Physiological Laboratory | 3722 Wheeler Rd, Augusta, GA 30909-6638 | 2020-01-31 |
| 1023066313 | Diagnostic Health Corportation | Physiological Laboratory | 2102 Central Ave, Augusta, GA 30904-6704 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417458233 | Procare Ultrasound | Physiological Laboratory | 4500 Satellite Blvd Ste 2190, Duluth, GA 30096-8850 | 2018-02-27 |
| 1831699222 | Hong Huong Thi Pham | Physiological Laboratory | 1710 Lake Lucerne Rd Sw, Lilburn, GA 30047-4534 | 2018-02-13 |
| 1225537483 | Fairpricemd Inc | Physiological Laboratory | 6175 Hickory Flat Hwy Ste 110-411, Canton, GA 30115-7207 | 2018-02-02 |
| 1861925075 | Nomadx Inc. | Physiological Laboratory | 4 E Washington St, Ste B2-b4, Newnan, GA 30263-1933 | 2017-04-05 |
| 1912375148 | Zywie Inc | Physiological Laboratory | 12000 Findley Rd, Suite 360, Johns Creek, GA 30097-1412 | 2015-09-03 |
| 1518347673 | Arterial Health International LLC | Physiological Laboratory | 3340 Peachtree Road, Ste 1800, Atlanta, GA 30326 | 2015-06-04 |
| 1669888657 | Avilys, LLC | Physiological Laboratory | 2300 Northside Xing, Ste B, Macon, GA 31210-2254 | 2014-07-10 |
| 1689919979 | Vocal Imaging, Inc. | Physiological Laboratory | 3006 Butler Creek Rd Nw, Kennesaw, GA 30152-3328 | 2012-11-28 |
| 1245506740 | Jd Sleep Diagnostics LLC | Physiological Laboratory | 1300 North Thornton Ave, Suite B, Dalton, GA 30720-3603 | 2012-03-29 |
| 1982997391 | Accuscan Medical Imaging, LLC | Physiological Laboratory | 6765 Moulton Pl, Cumming, GA 30040-6513 | 2011-05-17 |
| 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.