MERIDIAN CORPORATE HEALTHCARE OF GEORGIA PC (NPI# 1952465056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952465056 |
| Entity Type | Organization |
| Organization Name | MERIDIAN CORPORATE HEALTHCARE OF GEORGIA PC |
| Other Organization Name | FIELDALE FARMS FAMILY MEDICAL CENTER |
| Practice Address |
184 Professional Dr Unit B Baldwin GA 30511-4012 |
| Mailing Address |
5500 Maryland Way Brentwood TN 37027-4948 |
| Practice Telephone | 7068942714 |
| Practice Fax Number | 7068942715 |
| Mailing Telephone | 8444077557 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-08-10 |
| Authorized Official Name | DR. JAMES M THIEL (DIRECTOR) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fieldale Farms Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750726360 | Meridian Corporate Healthcare of Georgia PC | Clinic/Center | 255 Prosperity Way Ne, Adairsville, GA 30103-4903 | 2013-05-09 |
| 1306196027 | Meridian Corporate Healthcare of Georgia PC | Clinic/Center | 584 Lanier Park Dr, Gainesville, GA 30501-2000 | 2012-09-11 |
| 1437213709 | Meridian Corporate Healthcare of Georgia PC | Family Medicine | 1128 S Park St, Carrollton, GA 30119-4450 | 2006-12-21 |
| Street Address |
184 PROFESSIONAL DR UNIT B |
| City | BALDWIN |
| State | GA |
| Zip Code | 30511-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861537748 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 184 Professional Dr Unit B, Baldwin, GA 30511-4012 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154536613 | Patricia A Sullens | Nutritionist | 441 Professional Complex, Suite 479d, Baldwin, GA 30511 | 2007-05-10 |
| 1023142304 | Nomora Corp | Pharmacy | 1667 Willingham Avenue, Baldwin, GA 30511 | 2007-03-16 |
| 1134404072 | Christy A Floyd | Nurse Practitioner | 155 Professional Dr, Baldwin, GA 30511 | 2011-10-11 |
| 1194182709 | Baldwin Pharmacy LLC | Pharmacy | 1667 Willingham Avenue, Baldwin, GA 30511-0910 | 2016-01-27 |
| 1902853427 | The Oaks - Scenic View Skilled Nursing, LLC | Skilled Nursing Facility | 205 Peach Orchard Rd, Baldwin, GA 30511-1803 | 2006-05-29 |
| 1548577026 | United Rehab Inc | Clinic/Center | 205 Peach Orchard Rd, Baldwin, GA 30511-1803 | 2010-09-07 |
| 1891735387 | Oak Manor LLC | Custodial Care Facility | 205 Peach Orchard Rd, Baldwin, GA 30511-1803 | 2006-06-07 |
| 1548539133 | Carl Douglas Little Jr. | Chiropractor | 386 Highway 441 Byp, Baldwin, GA 30511-1807 | 2011-12-28 |
| 1396899720 | Kurt Daniel York | Chiropractor | 386 Hwy 441 By Pass, Baldwin, GA 30511-1807 | 2007-01-23 |
| 1912066622 | John Keith Kleinert | Optometrist | 366 Highway 441 Bypass, Baldwin, GA 30511-1807 | 2006-12-08 |
| Find all providers in zip 30511 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093238347 | Hudson Physicians, S.c | Family Medicine | 840 Spruce St, Baldwin, WI 54002-3264 | 2017-07-19 |
| 1033276878 | Adoracion Poblete Sotomayor | Family Medicine | 365 West Oliver Street, Baldwin, FL 32234-0608 | 2007-01-02 |
| 1932271509 | Ismail Ozcan | Family Medicine | 2762 Milburn Ave, Baldwin, NY 11510-4117 | 2006-11-15 |
| 1902984115 | Eric Shoenfeld | Family Medicine | 927 Merrick Rd, Baldwin, NY 11510-3334 | 2006-11-02 |
| 1457373532 | Nancy A. Akers | Family Medicine | 1701 Baldwin, Suite 103, Baldwin, MI 48340 | 2006-07-24 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1083658801 | Zev Brandel | Family Medicine | 2504 Grand Ave, Baldwin, NY 11510-3538 | 2006-06-15 |
| 1447224589 | Gregory John Estlund | Family Medicine | 730 10th Ave, Baldwin, WI 54002-9416 | 2006-02-15 |
| 1457321598 | Daniel Patrick Gilligan | Family Medicine | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2006-01-23 |
| 1912344250 | Chs Physician Partners, PC | Family Medicine | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2013-05-28 |
| Find all providers in BALDWIN | ||||
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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.