PHOEBE PHYSICIAN GROUP, INC (NPI# 1871956177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871956177 |
| Entity Type | Organization |
| Organization Name | PHOEBE PHYSICIAN GROUP, INC |
| Other Organization Name | PHOEBE COMMUNITY CARE CLINIC |
| Practice Address |
417 W 4th Ave Albany GA 31701-1915 |
| Mailing Address |
500 W 3rd Ave Ste 101 Albany GA 31701-1985 |
| Practice Telephone | 2293121000 |
| Mailing Telephone | 2293125800 |
| Mailing Fax Number | 2293125885 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | JEFF HEAD (CFO) |
| Authorized Official Telephone | 2293126721 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOEBE PHYSICIAN GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Phoebe Community Care Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902250434 | Phoebe Physician Group, Inc | Physical Therapist | 311 W 3rd Ave, Albany, GA 31701-2093 | 2016-04-21 |
| 1255794541 | Phoebe Physician Group, Inc | Internal Medicine | 425 W 3rd Ave Ste 700, Albany, GA 31701-1969 | 2016-04-04 |
| Street Address |
417 W 4TH AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659472736 | Michele Wilson Smith | Nutritionist | 417 W 4th Ave, Albany, GA 31701-1915 | 2006-09-25 |
| 1407402373 | Constance Williams Garrett | Nurse Practitioner | 417 W 4th Ave, Albany, GA 31701-1915 | 2019-08-15 |
| 1659366441 | Robert M Brashear | Family Medicine | 417 W 4th Ave, Albany, GA 31701 | 2005-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154506129 | American Current Care, P.a. | Clinic/Center | 10b Madison Avenue Extension, Albany, NY 12203 | 2008-01-08 |
| 1942285804 | Ctp Newton Medical PC | Clinic/Center | 1662 Central Ave, Albany, NY 12205-4057 | 2005-12-13 |
| 1467085530 | Rapid Urgent Care, Inc. | Clinic/Center | 19115 Florida Blvd Ste A, Albany, LA 70711-3704 | 2020-02-18 |
| 1336651983 | Southern Spine and Health LLC | Clinic/Center | 2601 Stuart Ave, Albany, GA 31707-1664 | 2017-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1699388231 | Reagan Medical Center | Clinic/Center | 426 Exchange Blvd Ste 500, Bethlehem, GA 30620-1797 | 2020-08-24 |
| 1982214888 | Emergent Testing LLC | Clinic/Center | 2566 Shallowford Rd Ne Ste 204, Atlanta, GA 30345-1249 | 2020-08-05 |
| 1154931541 | The Urgent Care Center of Richmond Hill, LLC | Clinic/Center | 818 Abercorn St, Savannah, GA 31401-5933 | 2020-07-31 |
| 1346858255 | Castellum Medical Consultants LLC | Clinic/Center | 1618 Mars Hill Rd Ste A, Watkinsville, GA 30677-4847 | 2020-07-16 |
| 1861010423 | Rural Urgent Care LLC | Clinic/Center | 440 Us Highway 84 E, Cairo, GA 39828-1647 | 2020-07-10 |
| 1013535657 | Statesboro Medical Group, LLC | Clinic/Center | 1176 Brampton Ave, Statesboro, GA 30458-0847 | 2020-07-09 |
| 1083249114 | Medlife Urgent Care LLC | Clinic/Center | 345 Huntington Place Ct Ste 200, Mcdonough, GA 30253-8651 | 2020-03-09 |
| 1376173906 | Rural Urgent Care LLC | Clinic/Center | 1408 Tallahassee Hwy Ste Z, Bainbridge, GA 39819-7791 | 2020-01-23 |
| 1942846100 | Pickens Urgent Care LLC | Clinic/Center | 744 Noah Dr Ste 108-109, Jasper, GA 30143-8705 | 2019-11-22 |
| 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.