MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C (NPI# 1881173821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881173821 |
Entity Type | Organization |
Organization Name | MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C |
Other Organization Name | CITY OF CORDELE HEALTH AND WELLNESS CENTER |
Practice Address |
809 E 11th Ave Cordele GA 31015-3422 |
Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
Practice Telephone | 2292762552 |
Practice Fax Number | 2292730157 |
Enumeration Date | 2018-08-10 |
Last Update Date | 2018-08-10 |
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 | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
City of Cordele Health and Wellness Center | 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 |
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 |
1407308711 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 173 W Savannah St, Clayton, GA 30525-5096 | 2016-11-03 |
Street Address |
809 E 11TH AVE |
City | CORDELE |
State | GA |
Zip Code | 31015-3422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618164 | Jeffrey Allen Wessel Jr. | Physical Therapist | 1107b Greer Street, Cordele, GA 31015 | 2020-08-03 |
1316502024 | Clifton Anthony Jordan | Specialist | 1106 East Ave Suite J, Cordele, GA 31015 | 2019-05-08 |
1336678440 | Robert Kenneth Lancaster | Dentist | 604 E 15th Avenue, Cordele, GA 31015 | 2017-06-12 |
1457602435 | Marvin Tolbert Mcafee IIi | Physician Assistant | 416 East 4th Ave, Suite B, Cordele, GA 31015 | 2012-10-01 |
1568719169 | Kimberly Bertelson | Physical Therapy Assistant | 1107 Greer Street, Suite B, Cordele, GA 31015 | 2012-08-14 |
1134474174 | R W Leitner Od LLC | Optometrist | 716-c 16th Ave East, Cordele, GA 31015 | 2012-07-16 |
1790048023 | Holly K Davis | Nurse Practitioner | 602 E 16th Ave Ste B, Cordele, GA 31015 | 2012-06-21 |
1508141482 | Beatrice Hurt Mckee | Nurse Practitioner | 216 Hospital Drive., Cordele, GA 31015 | 2011-10-11 |
1669784393 | Elisabeth R Waldrip | Dentist | 115 E 14th Avenue, Cordele, GA 31015 | 2010-07-10 |
1063656403 | Priscilla George Thomas | Surgery | 416 E 4th Ave # A, Cordele, GA 31015 | 2009-04-29 |
Find all providers in zip 31015 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
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1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
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.