SOUTHWEST GEORGIA HEALTHCARE CLINICS, INC (NPI# 1962467217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962467217 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST GEORGIA HEALTHCARE CLINICS, INC |
| Other Organization Name | SOUTHWEST GEORGIA HEALTHCARE CLINICS WOMEN'S CTN |
| Practice Address |
900 N Wiley Ave Donalsonville GA 39845-1127 |
| Practice Telephone | 2295248489 |
| Practice Fax Number | 2295246237 |
| Mailing Telephone | 2295248489 |
| Mailing Fax Number | 2295246237 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | JAMES MOODY (CFO) |
| Authorized Official Telephone | 2295245217 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST GEORGIA HEALTHCARE CLINICS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southwest Georgia Healthcare Clinics Women's Ctn | Former Legal Business Name - Organization |
| Southwest Georgia Healthcare Clinics,inc | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWEST GEORGIA HEALTHCARE CLINICS, INC. | 205 Bresee St, Donalsonville, GA 39845-1134 |
| Street Address |
900 N WILEY AVE |
| City | DONALSONVILLE |
| State | GA |
| Zip Code | 39845-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245299387 | Murdoc Michael Henderson | Obstetrics & Gynecology | 900 N Wiley Ave, Donalsonville, GA 39845 | 2006-03-18 |
| 1780867960 | Jessica Nunez | Obstetrics & Gynecology | 900 N Wiley Ave, Donalsonville, GA 39845-1127 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662634 | V E Health Services LLC | In Home Supportive Care | 3164 Town and Country Road, Donalsonville, GA 39845 | 2020-09-04 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1528377595 | Billy C. Williams | Pharmacist | 409 West 3rd St, Donalsonville, GA 39845 | 2010-09-24 |
| 1881867000 | Southwest Georgia Healthcare Clinics Inc | Pediatrics | 205 Bresee Street, Donalsonville, GA 39845 | 2008-04-09 |
| 1790851335 | Sherry R Hawkins | Dentist | 1005 South Tennille Ave, Donalsonville, GA 39845 | 2006-11-27 |
| 1124104096 | Jamaca Rashad Coachman | Physical Therapist | 2955 Paleface Drive, Donalsonville, GA 39845 | 2006-10-31 |
| 1225133093 | Tri-state Home Medical | Durable Medical Equipment & Medical Supplies | 801 N Wiley Ave, Donalsonville, GA 39845 | 2006-09-14 |
| 1154424596 | Richard Mark Wolff | Pediatrics | 205 Bresee St, Donalsonville, GA 39845 | 2006-09-07 |
| 1578527123 | Vincent Kelley | Nurse Anesthetist, Certified Registered | 102 Hospital Circle, Donalsonville, GA 39845 | 2006-04-12 |
| 1891331492 | Gregory Alan Drake | Pharmacist | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-11-19 |
| Find all providers in zip 39845 | ||||
| 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 |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 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 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 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 | ||||
| City | DONALSONVILLE |
| Zip Code | 39845 |
Please comment or provide details below to improve the information on SOUTHWEST GEORGIA HEALTHCARE CLINICS, INC.
| 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.