Oceanhorse Health and Wellness Clinic

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

OCEANHORSE HEALTH AND WELLNESS CLINIC

Practice address

4212 Coral Park Dr Ofc
Brunswick, GA 31520-3016

Phone

(912) 275-8165

Fax

(912) 289-9450

NPI assigned

Sep 13, 2020

Organization subpart

No

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

Authorized official

Name

Cathy Slay-Chipp, NURSE PRACTITIONER

Title

Practice Manager

Phone

(912) 230-1556

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chadrika L Johnson, OWNER, CENTER DIRECT

  • Clinical Laboratory Director (Non-physician)
  • Brunswick, GA
  • NPI 1952916231

  Single Specialty

  NPD

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1033724323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 CORAL PARK DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203016",
            "telephone_number": "912-275-8165",
            "fax_number": "912-289-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 CORAL PARK DR OFC",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203016",
            "telephone_number": "912-275-8165",
            "fax_number": "912-289-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANHORSE HEALTH AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-13",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "SLAY-CHIPP",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "912-230-1556",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003262258A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lorene Williams Oberlies
• Brooke Celeste Ogden
• Levinchi C. Oglesby, APRN, AGPCNP-BC
• Old Town Outpatient LLC
• Alexa Mae Olson, DDS
• Michael Brandon Omar, MD/MBBS

• All providers in Brunswick, GA
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.