DIVERSITY HEALTH CENTER INC (NPI# 1952584708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952584708 |
| Entity Type | Organization |
| Organization Name | DIVERSITY HEALTH CENTER INC |
| Practice Address |
213 N Mcdonald St Ste A&b Ludowici GA 31316 |
| Mailing Address |
P.o. Box 1520 Hinesville GA 31310 |
| Practice Telephone | 9125459398 |
| Practice Fax Number | 9125452747 |
| Mailing Telephone | 9125459398 |
| Mailing Fax Number | 9125452747 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | STEPHANIE JONES-THEAKER (CEO) |
| Authorized Official Telephone | 9123183947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 023448459A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801890 | Diversity Health Center Inc | Pharmacy | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2018-11-27 |
| 1720108590 | Diversity Health Center Inc | Clinic/Center | 303 Fraser Dr, Hinesville, GA 31313 | 2007-03-29 |
| Street Address |
213 N MCDONALD ST STE A&B |
| City | LUDOWICI |
| State | GA |
| Zip Code | 31316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043874050 | Courtney L Hayes | Nurse Practitioner | 213 N Mcdonald St Ste A&b, Ludowici, GA 31316-6075 | 2019-04-24 |
| 1982196507 | Holli Bailey Eason | Nurse Practitioner | 213 N Mcdonald St Ste A&b, Ludowici, GA 31316 | 2018-05-30 |
| 1508229840 | Melissa D Thomas | Nurse Practitioner | 213 N Mcdonald St Ste A&b, Ludowici, GA 31316 | 2016-04-04 |
| 1821470246 | Pamela Dawn Barstow | Nurse Practitioner | 213 N Mcdonald St Ste A&b, Ludowici, GA 31316-6075 | 2015-06-22 |
| 1598101446 | Bridgett Coleman | Counselor | 213 N Mcdonald St Ste A&b, Ludowici, GA 31316-6075 | 2013-05-20 |
| 1336301373 | Samuel Keith Williams IIi | Internal Medicine | 213 N Mcdonald St Ste A&b, Ludowici, GA 31316-6075 | 2008-07-01 |
| 1669588646 | Robert Lee Morgan | Family Medicine | 213 N Mcdonald St Ste A&b, Ludowici, GA 31316-6075 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104450220 | Bruce Sidney Williams | Behavior Technician | 63 Fury Lane Ne, Ludowici, GA 31316 | 2020-02-27 |
| 1821529074 | Chelsey Guthrie | Registered Nurse | 584 N Macon Street, Ludowici, GA 31316 | 2017-03-21 |
| 1154664126 | Mary A. Lias | Registered Nurse | 118 N. Mcdonald St., Ludowici, GA 31316 | 2013-03-28 |
| 1669798989 | Cecilia B Ong | Specialist | 213 North Mcdonald Street, Suite A & B, Ludowici, GA 31316 | 2010-04-12 |
| 1528298668 | Long County Health Center | Clinic/Center | 40 E Cypress St, Bldg A, Ludowici, GA 31316 | 2009-07-23 |
| 1922159615 | John-michael Nakles | Marriage & Family Therapist | 16 Residence Street, Ludowici, GA 31316 | 2007-01-16 |
| 1659428720 | Florence O Baggs | Nurse Practitioner | 73 Coastal Manor Dr, Ludowici, GA 31316 | 2007-01-04 |
| 1265463004 | Hospital Authority of Liberty County | Skilled Nursing Facility | Hwy 84 East, Ludowici, GA 31316 | 2006-07-06 |
| 1972028660 | Hospital Authority of Liberty County | General Practice | 73 Coastal Manor Dr, Ludowici, GA 31316 | 2017-08-03 |
| 1306916119 | Ar Medical LLC | Clinic/Center | 15 North Mcdonald Street, Ludowici, GA 31316-0068 | 2006-11-09 |
| Find all providers in zip 31316 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884296 | Diversity Health Center Inc. | Clinic/Center | 213 N Mcdonald St Ste C, Ludowici, GA 31316-6075 | 2019-01-10 |
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| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
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| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| 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.