GEORGIA COLLEGE & STATE UNIVERSITY


Address: 120 W Campus Dr, Cbx 091, Milledgeville, GA 31061-1990
Phone: 4784455288

GEORGIA COLLEGE & STATE UNIVERSITY (NPI# 1831443936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831443936
Entity Type Organization
Organization Name GEORGIA COLLEGE & STATE UNIVERSITY
Other Organization Name GEORGIA COLLEGE & STATE UNIVERSITY STUDENT HEALTH SERVICES
Practice Address 120 W Campus Dr
Cbx 091
Milledgeville
GA 31061-1990
Practice Telephone 4784455288
Practice Fax Number 4784453142
Mailing Telephone 4784455288
Mailing Fax Number 4784453142
Enumeration Date 2012-10-29
Last Update Date 2015-10-05
Authorized Official Name SUSAN ALLEN (INTERIM SR VP FOR FINANCE AND ADMIN)
Authorized Official Telephone 4784455148
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Georgia College & State University Student Health Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154758001 Georgia College & State University Clinic/Center 120 W Campus Dr Cbx 091, Milledgeville, GA 31061-1990 2013-10-08

Office Location

Street Address 120 W CAMPUS DR
CBX 091
City MILLEDGEVILLE
State GA
Zip Code 31061-1990

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154732519 Katie Griffin Whipple Music Therapist 120 W Campus Dr, Box 091, Milledgeville, GA 31061-1990 2014-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861007403 Caring Clinic LLC Nurse Practitioner 114 Wrights Dr, Milledgeville, GA 31061 2020-09-10
1629619945 Gini M Ellis Counselor Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 2019-10-08
1356992275 Community Health Care Systems, Inc Clinic/Center 100 N Abc Street, Milledgeville, GA 31061 2019-09-23
1467923805 Adam Tocio Specialist/Technologist 350 W. Washington St., Milledgeville, GA 31061 2018-12-11
1487170304 Aubrey Martin Specialist/Technologist 251 S Clark St., Milledgeville, GA 31061 2017-08-22
1427573054 Heritagefirst Home Care Inc. In Home Supportive Care 1277 Twin Pine Road, Milledgeville, GA 31061 2017-08-04
1851813893 Brittany Shantrel Primas Nurse Practitioner 102 A Airport Road Ne, Milledgeville, GA 31061 2017-07-12
1609300839 Samantha Weldon Behavioral Analyst 174 Stewart Dr Nw, Milledgeville, GA 31061 2017-04-14
1427425230 Foster Deariso Specialist/Technologist 251 S Clarke St, Milledgeville, GA 31061 2015-08-27
1023406279 Llewelyn Garillos Occupational Therapist 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 2014-12-22
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154758001 Georgia College & State University Clinic/Center 120 W Campus Dr Cbx 091, Milledgeville, GA 31061-1990 2013-10-08
1063766731 Georgia Military College Clinic/Center 201 E Greene St, Milledgeville, GA 31061-3519 2012-11-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023422417 Georgia Southwestern State University Clinic/Center 800 Gsw University Drive, Americus, GA 31709 2014-06-13
1821373580 Thomas University Clinic/Center 1501 Millpond Rd, Thomasville, GA 31792-7478 2011-10-13
1215239934 Aasu Sports Medicne Clinic/Center 11935 Abercorn St, Savannah, GA 31419-1909 2010-12-01
1396873527 Georgia Institute of Technology Clinic/Center 740 Ferst Drive, Nw, Atlanta, GA 30332-0470 2007-03-01
1043352016 Georgia Institute of Technology Stamps Health Services Clinic/Center 740 Ferst Drive, Atlanta, GA 30332-0470 2007-02-13
1891255519 Alexander Clifford Commanday Clinic/Center 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 2019-03-20
1144629932 Young Harris College Clinic/Center 1 College St, Young Harris, GA 30582-4137 2014-08-18
1790100170 Wellstar Medical Group, LLC Clinic/Center 3215 Campus Loop Rd Nw, Kennesaw, GA 30144-3227 2014-02-21
1811324296 Columbus State University Clinic/Center 4225 University Ave, Athletics Lumpkin Center Rm 124, Columbus, GA 31907-5679 2013-10-01
1891038568 Abraham Baldwin Agricultural College Clinic/Center 2802 Moore Hwy, Abac 52, Tifton, GA 31793-5679 2013-04-01
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Competitor

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City MILLEDGEVILLE
Zip Code 31061

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Dataset Information

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.

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