MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C (NPI# 1891207536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891207536 |
| Entity Type | Organization |
| Organization Name | MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C |
| Other Organization Name | HARRISON POULTRY WELLNESS CENTER |
| Practice Address |
107 E Star St Bethlehem GA 30620-2119 |
| Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
| Practice Telephone | 6789753115 |
| Practice Fax Number | 6789753116 |
| Mailing Telephone | 8444077557 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Authorized Official Name | DR. JAMES MICHAEL THIEL (PRESIDENT) |
| Authorized Official Telephone | 7034890289 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Harrison Poultry 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 |
| 1881173821 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 809 E 11th Ave, Cordele, GA 31015-3422 | 2018-08-10 |
| 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 |
| 1407308711 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 173 W Savannah St, Clayton, GA 30525-5096 | 2016-11-03 |
| Street Address |
107 E STAR ST |
| City | BETHLEHEM |
| State | GA |
| Zip Code | 30620-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| 1518445683 | Bethlehem Dentistry, LLC | Dentist | 255 Gateway Drive, Suite 200, Bethlehem, GA 30620 | 2018-08-01 |
| 1881621233 | Manan I Shah | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2006-06-28 |
| 1871088997 | Stephanie Grace Bair | Occupational Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-30 |
| 1588159958 | John David Williams | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-27 |
| 1023460938 | Virginia Persons Labella | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620 | 2016-07-05 |
| 1649656356 | Kimberly Christine Thomas | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2015-08-04 |
| 1336468131 | Manan I Shah Md PC | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2010-05-19 |
| 1265998454 | Dawn Crook | Community/Behavioral Health | 509 Harry Mccarty Rd, Bethlehem, GA 30620-1707 | 2019-02-13 |
| 1447667233 | Susan Hardy Leighty | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620-1759 | 2014-07-14 |
| Find all providers in zip 30620 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578902227 | Professional Therapy Services, LLC | Clinic/Center | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2144 | 2013-06-17 |
| 1043780661 | Medical Complete Care Clinic | Clinic/Center | 910 E 4th St, Bethlehem, PA 18015-1904 | 2018-11-27 |
| 1508086620 | St. Luke's Hospital | Clinic/Center | 240 Union Station Plz, Bethlehem, PA 18015-1281 | 2007-04-30 |
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| 1285242024 | Vernu 2 Inc | Clinic/Center | 501 S Main St Ste 201, Alpharetta, GA 30009-1975 | 2020-07-17 |
| 1598373755 | Pediatric Developmental Services | Clinic/Center | 2250 N Druid Hills Rd Ne Ste 265, Atlanta, GA 30329-3141 | 2020-07-14 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1366068728 | Wood Health LLC | Clinic/Center | 310 Gold Creek Trl Ste 100, Woodstock, GA 30188-5436 | 2020-06-22 |
| 1790307924 | Cryogen Plus LLC | Clinic/Center | 1039 Grant St Se Bldg A, Atlanta, GA 30315-2014 | 2020-05-11 |
| 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 |
| 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.