MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C (NPI# 1730679515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730679515 |
| Entity Type | Organization |
| Organization Name | MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C |
| Other Organization Name | PREMISE HEALTH - DALTON HWC |
| Practice Address |
304 Brickyard Rd Dalton GA 30721-4815 |
| Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
| Practice Telephone | 7068761870 |
| Practice Fax Number | 7062777626 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Authorized Official Name | DR. JAMES MICHAEL THIEL (PRESIDENT) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premise Health - Dalton HWC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174154496 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2305 Abutment Rd, Dalton, GA 30721-4881 | 2020-01-27 |
| 1447881768 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2225 S Hamilton St, Dalton, GA 30721-4975 | 2020-01-27 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| 1881173821 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 809 E 11th Ave, Cordele, GA 31015-3422 | 2018-08-10 |
| 1447739545 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1122 North St W, Vidalia, GA 30474-3214 | 2018-08-09 |
| 1073092169 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 342 E Brazell St, Reidsville, GA 30453-5046 | 2018-08-09 |
| 1114406295 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 801 W Barnard St, Glennville, GA 30427-3030 | 2018-08-09 |
| 1588143663 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 21971 Us Highway 319 N, Coolidge, GA 31738-3743 | 2018-08-09 |
| 1073090791 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1110 Farr Rd Ste C, Columbus, GA 31907-8627 | 2018-07-25 |
| 1891207536 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 107 E Star St, Bethlehem, GA 30620-2119 | 2017-11-03 |
| Street Address |
304 BRICKYARD RD |
| City | DALTON |
| State | GA |
| Zip Code | 30721-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154823086 | Jamie Lynn Haswell | Nurse Practitioner | 304 Brickyard Rd, Dalton, GA 30721-4815 | 2018-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174154496 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2305 Abutment Rd, Dalton, GA 30721-4881 | 2020-01-27 |
| 1447881768 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2225 S Hamilton St, Dalton, GA 30721-4975 | 2020-01-27 |
| 1003868225 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 1508 N Thornton Ave Ste 106, Dalton, GA 30720-8516 | 2006-05-16 |
| 1588128656 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2019-01-23 |
| 1649586751 | Benchmark Healthcare Services LLC | Clinic/Center | 1508 N Thornton Ave Ste 106, Dalton, GA 30720-8516 | 2010-08-26 |
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| 1366068728 | Wood Health LLC | Clinic/Center | 310 Gold Creek Trl Ste 100, Woodstock, GA 30188-5436 | 2020-06-22 |
| 1790307924 | Cryogen Plus LLC | Clinic/Center | 1039 Grant St Se Bldg A, Atlanta, GA 30315-2014 | 2020-05-11 |
| 1619528031 | Tri-county Rural Health Services | Clinic/Center | 639a Vestal Rd, Sardis, GA 30456-2155 | 2019-09-26 |
| 1265082028 | Kmb Billing and Consulting | Clinic/Center | 2295 Parklake Dr Ne Ste 425, Atlanta, GA 30345-2812 | 2019-09-13 |
| 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.