ARCHBOLD MEDICAL GROUP, INC (NPI# 1730564998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730564998 |
Entity Type | Organization |
Organization Name | ARCHBOLD MEDICAL GROUP, INC |
Other Organization Name | ARCHBOLD NEUROLOGY ASSOCIATES |
Practice Address |
114 Mimosa Dr Suite C Thomasville GA 31792-6677 |
Practice Telephone | 2295845650 |
Practice Fax Number | 2295845651 |
Enumeration Date | 2015-07-29 |
Last Update Date | 2015-07-31 |
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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
ARCHBOLD NEUROLOGY ASSOCIATES | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720452246 | Archbold Medical Group, Inc | Internal Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2015-11-20 |
Street Address |
114 MIMOSA DR SUITE C |
City | THOMASVILLE |
State | GA |
Zip Code | 31792-6677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295798320 | Wayne L Bakotic | Pathology | 114 Mimosa Dr, Suite C, Thomasville, GA 31792-6677 | 2006-04-10 |
1225257132 | South Georgia Physical Medicine and Rehabilitation | Specialist | 114 Mimosa Dr, Thomasville, GA 31792-6677 | 2007-04-25 |
1902932593 | Jemeka S Christian | Physician Assistant | 114 Mimosa Dr, Jdamh -- Apogee Medical Group, Thomasville, GA 31792-5739 | 2007-02-26 |
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 | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427261262 | Johnson Neurological Clinic, Inc. | Psychiatry & Neurology | 1213 Lexington Ave, Thomasville, NC 27360-3416 | 2007-05-08 |
1184671133 | Margaret C. Boltja | Psychiatry & Neurology | 615 S Hansell St, Thomasville, GA 31792-5556 | 2006-05-27 |
1639642614 | Novant Medical Group Inc | Psychiatry & Neurology | 1219 Lexington Ave Ste B, Thomasville, NC 27360-2784 | 2019-01-02 |
1306225479 | Southern Interventional Pain Center LLC | Psychiatry & Neurology | 615 S Hansell St, Thomasville, GA 31792-5556 | 2015-05-22 |
1063831907 | Ethan Sungeun Yun | Psychiatry & Neurology | 1219 Lexington Ave Ste B, Thomasville, NC 27360-2784 | 2014-04-08 |
1912202441 | Regional Physicians LLC | Psychiatry & Neurology | 1219 Lexington Ave, Suite B, Thomasville, NC 27360-2870 | 2011-01-13 |
1942429485 | Nadir Ismat Ishag Osman | Psychiatry & Neurology | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2007-04-24 |
1891873907 | Robert A Lynde | Psychiatry & Neurology | 704 S Broad St, Thomasville, GA 31792-6107 | 2006-11-02 |
1750337929 | Leanne Kay Willis | Psychiatry & Neurology | 1219 Lexington Ave Ste B, Thomasville, NC 27360 | 2006-05-26 |
1003861279 | Joseph Keith Miller | Psychiatry & Neurology | 1219 Lexington Ave Ste B, Thomasville, NC 27360 | 2006-05-24 |
Find all providers in THOMASVILLE |
City | THOMASVILLE |
Zip Code | 31792 |
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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.