TOCCOA CLINIC MEDICAL ASSOCIATES (NPI# 1710186168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710186168 |
| Entity Type | Organization |
| Organization Name | TOCCOA CLINIC MEDICAL ASSOCIATES |
| Practice Address |
269 Ridgecrest Cir Clayton GA 30525-4109 |
| Practice Telephone | 7068867537 |
| Practice Fax Number | 7068866542 |
| Mailing Telephone | 7068867537 |
| Mailing Fax Number | 7068866542 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | DR. JIM R WADE (PHYSICIAN) |
| Authorized Official Telephone | 70688867537 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114127107 | Toccoa Clinic Medical Associates | Durable Medical Equipment & Medical Supplies | 590 Historic 441 North, Suite D, Demorest, GA 30535-4561 | 2007-07-19 |
| 1831398270 | Toccoa Clinic Medical Associates | Durable Medical Equipment & Medical Supplies | 12192 Augusta Rd, Lavonia, GA 30553-1209 | 2007-07-16 |
| Street Address |
269 RIDGECREST CIR |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346589983 | Amara Pharmacy | Pharmacy | 269 Ridgecrest Cir, Clayton, GA 30525-4109 | 2013-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779590 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 24 Publix Drive, Clayton, NC 27527 | 2020-08-05 |
| 1356763312 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8101 Clayton Rd, Clayton, MO 63117-1103 | 2014-01-10 |
| 1760768832 | American Vets Mobility & Equipment Corp. | Durable Medical Equipment & Medical Supplies | 180 Millstone Dr, Clayton, NC 27527 | 2011-11-02 |
| 1144454273 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 355 Highway 441 S, Clayton, GA 30525-5454 | 2009-05-04 |
| 1114191350 | The Autism Shoppe | Durable Medical Equipment & Medical Supplies | 506 Hopewell Dr, Clayton, DE 19938-2228 | 2008-04-18 |
| 1649332180 | Clayton Dental Offices, Pllc | Durable Medical Equipment & Medical Supplies | 775 Graves St, Clayton, NY 13624-1503 | 2006-12-14 |
| 1801983762 | Advanced Medical Supplies Of | Durable Medical Equipment & Medical Supplies | 1101 Neuse Ridge Dr, Clayton, NC 27527-5333 | 2006-10-10 |
| 1134212509 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 50 Neuse River Pkwy, Clayton, NC 27527-5275 | 2006-09-30 |
| 1790884914 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 11360 Us Highway 70 West, Clayton, NC 27520-2206 | 2006-09-22 |
| 1801905260 | Rite Aid of New Jersey Inc | Durable Medical Equipment & Medical Supplies | 236 South Delsea Drive, Clayton, NJ 08312-1637 | 2006-08-30 |
| Find all providers in CLAYTON | ||||
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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.