The Nightingale Clinic, PC
Organization Active NPI Family Medicine Physician · Quitman, GA
NPI 1013059708 · NPPES record last updated Mar 30, 2009
Key facts
- NPI
- 1013059708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 039500 (GA)
- Legal business name
- THE NIGHTINGALE CLINIC, PC
- Practice address
- 606 W Screven St
Quitman, GA 31643-1922 - Phone
- (229) 263-8888
- Fax
- (229) 263-6528
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Janet Barber
- Title
- Office Manager
- Phone
- (229) 263-8888
Practitioners 3
-
Rachel G. Velez, D.O.
-
Keshana Snead, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0964466 | Nightingale Clinic PC, the | Provider-performed microscopy | Aug 25, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312000077 | GA | Part B Supplier - Clinic/Group Practice | 8527957133 |
Receives reassigned benefits from 2 practitioners Practice locations: Quitman, GA |
National Provider Directory
Locations
301 N Court St
Quitman, GA 31643
Phone (229) 263-8888
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGHCDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 039500 | GA | Yes |
Addresses
Primary practice location
606 W Screven St
Quitman, GA 31643-1922
Mailing address
PO Box 845
Quitman, GA 31643-0845
Phone (229) 263-8888
Other providers in Quitman, GA
- Still Standing 2000, Inc
- Susan M. Harding MD PC
- Katie W Tanner
- Belinda Dale Tate
- The Hospital Authority of Brooks County, Georgia
- Amy Thomas
- Total Renal Care Inc
- Shacora Travis
- Ultimate Care Partners Inc
- Rachel G. Velez
All providers in Quitman, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.