TMC/VILLA RICA HOSPITAL, INC (NPI# 1851388748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851388748 |
| Entity Type | Organization |
| Organization Name | TMC/VILLA RICA HOSPITAL, INC |
| Other Organization Name | TANNER HEALTH SYSTEM |
| Practice Address |
601 Dallas Hwy Villa Rica GA 30180-1202 |
| Mailing Address |
Po Box 638 Villa Rica GA 30180-0638 |
| Practice Telephone | 7704563000 |
| Practice Fax Number | 7704563390 |
| Mailing Telephone | 7708369666 |
| Mailing Fax Number | 7704563390 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | MR. LEE C. SHERSETH (CFO) |
| Authorized Official Telephone | 7708369697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 022-424 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000002032A | 05 |
| Other Name | Type Code |
|---|---|
| Tanner Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104066265 | Tmc/villa Rica Hospital, Inc | Psychiatric Unit | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2009-03-03 |
| Street Address |
601 DALLAS HWY |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906192 | Sophia Tieu | Registered Nurse | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2020-09-14 |
| 1073139994 | Sara Rose Addison | Dietitian, Registered | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2020-06-17 |
| 1972139566 | Stefanie Christopher | Nurse Practitioner | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2020-03-16 |
| 1144784679 | Nova Medical Services, LLC | Family Medicine | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2019-01-29 |
| 1134442122 | Elissaveta B Johnson | Dietitian, Registered | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2010-03-05 |
| 1104066265 | Tmc/villa Rica Hospital, Inc | Psychiatric Unit | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2009-03-03 |
| 1801068796 | Oglethorpe Emergency Physicians | Emergency Medicine | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2008-03-31 |
| 1417910001 | David I Antokal | Nurse Anesthetist, Certified Registered | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
| 1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
| 1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
| 1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
| 1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
| 1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
| 1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
| 1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
| 1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
| 1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
| Find all providers in zip 30180 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
| Find all providers with the same taxonomy | ||||
| City | VILLA RICA |
| Zip Code | 30180 |
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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.