Organization Active NPI

The Nightingale Clinic, PC

  • Family Medicine Physician
  • Quitman, GA
National Provider Identifier
1013059708
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
039500 Issued in 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
Last updated
Mar 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Janet Barber
Title
Office Manager
Phone
(229) 263-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 039500 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000077 GA Part B Supplier - Clinic/Group Practice 8527957133 Receives reassigned benefits from 2 practitioners
Practice locations: Quitman, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0964466Nightingale Clinic PC, the606 West Screven Street, Quitman, GA 31643Provider-performed microscopyAug 25, 2027

National Provider Directory

National Provider Directory

Locations

301 N Court St
Quitman, GA 31643
Phone (229) 263-8888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGHCDD

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1013059708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316430845",
            "telephone_number": "229-263-8888",
            "fax_number": "229-263-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W SCREVEN ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431922",
            "telephone_number": "229-263-8888",
            "fax_number": "229-263-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NIGHTINGALE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-263-8888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "039500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.