ST. MARY'S HEALTH CARE SYSTEM INC (NPI# 1841299187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841299187 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S HEALTH CARE SYSTEM INC |
| Practice Address |
1021 Jamestown Blvd Ste 215 Watkinsville GA 30677-4176 |
| Mailing Address |
Po Box 6588 Athens GA 30604-6588 |
| Practice Telephone | 7063892273 |
| Practice Fax Number | 7063892298 |
| Mailing Telephone | 7063892273 |
| Mailing Fax Number | 7063892298 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2018-04-02 |
| Authorized Official Name | D. MONTEZ CARTER (PRESIDENT & CEO) |
| Authorized Official Telephone | 7063893930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 029-057 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00041357A | 05 | |
| CCSP | 00001823C | 01 |
| Street Address |
1021 JAMESTOWN BLVD STE 215 |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740817253 | Frances Hughes | Nurse Practitioner | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2020-03-25 |
| 1689215709 | Amanda Lou Newton | Social Worker | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-09-30 |
| 1053885871 | Sheryl Newberry | Nurse Practitioner | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-01-15 |
| 1265906226 | Laura Moon | Nurse Practitioner | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-01-14 |
| 1932672300 | St. Mary's Medical Group, Inc. | Internal Medicine | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-01-08 |
| 1063752012 | Barbara Lynn Pruitt | Nurse Practitioner | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 | 2013-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412877 | Tracis Rehab Associates | Home Health | 1404 Shenandoah Dr, Watkinsville, GA 30677-8373 | 2020-09-16 |
| 1457529448 | Southern Home Care | Home Health | 1551 Jennings Mill Rd, Suite 2700a, Watkinsville, GA 30677-7244 | 2008-02-13 |
| 1225176365 | Amicita Home Health, LLC | Home Health | 1612 Mars Hill Rd, Suite B, Watkinsville, GA 30677-4889 | 2007-02-01 |
| 1841221140 | Guardian Home Care of Central Georgia, LLC | Home Health | 1551 Jennings Mill Rd, Building 2500, Watkinsville, GA 30677-7244 | 2006-07-05 |
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|---|---|---|---|---|
| 1902407901 | Cpg Private Home Care Providers, LLC | Home Health | 238 Stockbridge Rd Ste 215, Jonesboro, GA 30236-3629 | 2020-11-05 |
| 1073114286 | Sadiecare Health Services Incorporated | Home Health | 483 Holderness St Sw Unit B, Atlanta, GA 30310-1748 | 2020-11-04 |
| 1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
| 1902406804 | Southern Home Care Services, Inc. | Home Health | 102 S Green St, Swainsboro, GA 30401-3131 | 2020-10-29 |
| 1942800743 | Vidma Care Mission, LLC | Home Health | 3045 Whittier Way, Cumming, GA 30040-0722 | 2020-10-29 |
| 1891395380 | Am Pm Assets, Inc. | Home Health | 971 Lanier Ave, Gainesville, GA 30501-1727 | 2020-10-26 |
| 1588263917 | 963 Hz LLC | Home Health | 621 Arbor Cir, Tucker, GA 30084-3061 | 2020-10-17 |
| 1811595283 | Rotex Healthcare Services LLC | Home Health | 1847 Canoe Rdg Nw, Kennesaw, GA 30152-6222 | 2020-10-16 |
| 1306444120 | Circle of Life Caregiver Services | Home Health | 1803 Wynnton Rd, Columbus, GA 31906-2929 | 2020-10-14 |
| 1740888437 | Arose Home Care Services,llc | Home Health | 3374 Stone Path Way, Powder Springs, GA 30127-5329 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | WATKINSVILLE |
| Zip Code | 30677 |
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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.