ARCHBOLD MEDICAL GROUP, INC (NPI# 1720452246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720452246 |
| Entity Type | Organization |
| Organization Name | ARCHBOLD MEDICAL GROUP, INC |
| Other Organization Name | ARCHBOLD GASTROENTEROLOGY GROUP |
| Practice Address |
112 Mimosa Dr Thomasville GA 31792-6605 |
| Practice Telephone | 2292270045 |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | CHARLES HIGHTOWER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2292282853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ARCHBOLD GASTROENTEROLOGY GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730564998 | Archbold Medical Group, Inc | Psychiatry & Neurology | 114 Mimosa Dr, Suite C, Thomasville, GA 31792-6677 | 2015-07-29 |
| Street Address |
112 MIMOSA DR |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215924 | Kristin F Deutsch | Nurse Practitioner | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2005-06-16 |
| 1356987457 | Jessica Brown | Emergency Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2019-11-23 |
| 1295377000 | Jessica Wilson Cashwell | Nurse Practitioner | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2019-10-14 |
| 1700179983 | Aymen Yousuf Bukannan | Internal Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2011-05-23 |
| 1780826750 | Melissa Ann Simpson | Nurse Practitioner | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2009-04-06 |
| 1548329410 | Digestive Disease Center of South Georgia, PC | Specialist | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-12-07 |
| 1073698031 | Ronald Lindquist | Physician Assistant | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-10-26 |
| 1568544674 | Scott D Farquhar | Internal Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-10-19 |
| 1316997760 | Archbold Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-05-10 |
| 1801879358 | James Alexander Sinnott | Internal Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2005-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841474384 | Digestive Health Specialists, Pa | Internal Medicine | 137 Mount Calvary Rd, Suite A, Thomasville, NC 27360-3467 | 2007-12-19 |
| 1568544674 | Scott D Farquhar | Internal Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-10-19 |
| 1801879358 | James Alexander Sinnott | Internal Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741448 | Gastro Consultants of Atlanta PC | Internal Medicine | 5669 Peachtree Dunwoody Rd Ste 270, Atlanta, GA 30342-1786 | 2019-07-02 |
| 1023582798 | Digestive Care Consultants, LLC | Internal Medicine | 11315 Johns Creek Pkwy Ste 400, Johns Creek, GA 30097-1517 | 2019-01-16 |
| 1285122465 | Atlanta Premier Gi Endoscopy, LLC | Internal Medicine | 3400 Mcclure Bridge Rd Ste B201, Duluth, GA 30096-8705 | 2018-04-24 |
| 1346762838 | Precision Medical Center PC | Internal Medicine | 4646 N Shallowford Rd Ste 555, Atlanta, GA 30338-6308 | 2017-07-17 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1922407162 | Umg Gastroenterology LLC | Internal Medicine | 820 Saint Sebastian Way Ste 2f, Augusta, GA 30901-2636 | 2014-08-13 |
| 1841618881 | Leah G Katta | Internal Medicine | 3400 Old Milton Pkwy Ste 380, Alpharetta, GA 30005-3707 | 2014-04-05 |
| 1306276324 | Candler Gastroenterology | Internal Medicine | 380b Cedar St, Metter, GA 30439-4042 | 2013-11-13 |
| 1215377247 | Deepanshu Jain | Internal Medicine | 8855 Hospital Dr Ste 101, Douglasville, GA 30134-2256 | 2013-07-05 |
| 1114260833 | Shahzad Ahmed | Internal Medicine | 1301 Sigman Rd Ne Ste 170, Conyers, GA 30012-3923 | 2013-04-01 |
| Find all providers with the same taxonomy | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on ARCHBOLD MEDICAL GROUP, INC.
| 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.