ABRAHAM BALDWIN AGRICULTURAL COLLEGE (NPI# 1891038568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891038568 |
| Entity Type | Organization |
| Organization Name | ABRAHAM BALDWIN AGRICULTURAL COLLEGE |
| Other Organization Name | ABAC STUDENT HEALTH SERVICES |
| Practice Address |
2802 Moore Hwy Abac 52 Tifton GA 31793-5679 |
| Practice Telephone | 2293915030 |
| Practice Fax Number | 2293915031 |
| Mailing Telephone | 2293915030 |
| Mailing Fax Number | 2293915031 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | JOHN CLEMENS (VP PLANNING & OPERATIONS) |
| Authorized Official Telephone | 2293914875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ABAC Student Health Services | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ABRAHAM BALDWIN AGRICULTURAL COLLEGE | 2802 Moore Hwy, Tifton, GA 31793-5679 |
| Street Address |
2802 MOORE HWY ABAC 52 |
| City | TIFTON |
| State | GA |
| Zip Code | 31793-5679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215189865 | Cindia Poole Dubravcic | Nurse Practitioner | 2802 Moore Hwy, Abac, Tifton, GA 31793-5679 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508428442 | Tift Regional Health System Inc | Nurse Practitioner | 1464 Carpenter Road S, Tifton, GA 31793 | 2019-07-01 |
| 1528556990 | Careconnect Health, Inc. | Clinic/Center | 1909 Hwy. 82 West, Suites 3 & 4, Tifton, GA 31793 | 2018-05-01 |
| 1003132754 | Mark Davis Wilson | Pediatrics | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 | 2010-04-19 |
| 1003982752 | Leanette S Roberson | Counselor | 1603 Mallard Lane, Tifton, GA 31793 | 2006-11-27 |
| 1356447536 | Tift County Comissioner of Roads & Revenues | Ambulance | 1209 N Tifton Avenue, Tifton, GA 31793 | 2006-09-15 |
| 1295063956 | Fran Mcpherson | Nurse Practitioner | 2201 Rutland Rd, Tifton, GA 31793-5026 | 2009-11-18 |
| 1710542451 | Tiffany Kennedy | Contractor | 2770 Eb Hamilton Dr Apt 203, Tifton, GA 31793-5060 | 2019-05-08 |
| 1801948229 | Frank M Davis | Family Medicine | 67 Hutchinson Rd, Tifton, GA 31793-5551 | 2007-01-17 |
| 1629552237 | Allison M Holland | Contractor | 166 Cambridge Ct, Tifton, GA 31793-5675 | 2018-09-19 |
| 1992004519 | Karen Alicia Baldree | Dietitian, Registered | 122 Oakwood Ct, Tifton, GA 31793-5755 | 2011-03-22 |
| Find all providers in zip 31793 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023422417 | Georgia Southwestern State University | Clinic/Center | 800 Gsw University Drive, Americus, GA 31709 | 2014-06-13 |
| 1154758001 | Georgia College & State University | Clinic/Center | 120 W Campus Dr Cbx 091, Milledgeville, GA 31061-1990 | 2013-10-08 |
| 1831443936 | Georgia College & State University | Clinic/Center | 120 W Campus Dr, Cbx 091, Milledgeville, GA 31061-1990 | 2012-10-29 |
| 1821373580 | Thomas University | Clinic/Center | 1501 Millpond Rd, Thomasville, GA 31792-7478 | 2011-10-13 |
| 1215239934 | Aasu Sports Medicne | Clinic/Center | 11935 Abercorn St, Savannah, GA 31419-1909 | 2010-12-01 |
| 1396873527 | Georgia Institute of Technology | Clinic/Center | 740 Ferst Drive, Nw, Atlanta, GA 30332-0470 | 2007-03-01 |
| 1043352016 | Georgia Institute of Technology Stamps Health Services | Clinic/Center | 740 Ferst Drive, Atlanta, GA 30332-0470 | 2007-02-13 |
| 1891255519 | Alexander Clifford Commanday | Clinic/Center | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2019-03-20 |
| 1144629932 | Young Harris College | Clinic/Center | 1 College St, Young Harris, GA 30582-4137 | 2014-08-18 |
| 1790100170 | Wellstar Medical Group, LLC | Clinic/Center | 3215 Campus Loop Rd Nw, Kennesaw, GA 30144-3227 | 2014-02-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ABRAHAM BALDWIN AGRICULTURAL COLLEGE.
| 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.