MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C


Address: 809 E 11th Ave, Cordele, GA 31015-3422
Phone: 2292762552

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
City of Cordele Health and Wellness Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 809 E 11TH AVE
City CORDELE
State GA
Zip Code 31015-3422

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1942809108 Lexington Primary Care LLC Clinic/Center 777 Athens Rd, Lexington, GA 30648-1902 2020-10-20
1619575834 The Iv Spot, LLC. Clinic/Center 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 2020-10-09
1528673514 Safe Haven Medical Services Clinic/Center 444 Racetrack Rd, Mcdonough, GA 30252-6837 2020-09-15
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
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Competitor

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City CORDELE
Zip Code 31015

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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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