Childrens Medical Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CHILDRENS MEDICAL CENTER

Practice address

5488 N Alabama Ave
Omega, GA 31775-3054

Phone

(229) 528-4546

Fax

(229) 528-4841

NPI assigned

Dec 21, 2006

Last updated

Mar 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clyde Granville Simmons, M.D.NPI 1235193582

Title

Ceo

Phone

(229) 528-4546

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16486/brand/1/csg/1/fhir/r4

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.

• Clyde G Simmons, M.D.

  • Specialist
  • Omega, GA
  • NPI 1235193582
  NPD (past) Authorized official
• Pamela C. Collier, F.N.P.-C

  • Family Nurse Practitioner
  • Omega, GA
  • NPI 1033173570
  NPD (past)
• John Eanes II, MD

  • Pediatrics Physician
  • Brookhaven, GA
  • NPI 1609866938
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1154485415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7627",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317937627",
            "telephone_number": "229-396-5830",
            "fax_number": "229-391-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5488 N ALABAMA AVE",
            "city": "OMEGA",
            "state": "GA",
            "postal_code": "317753054",
            "telephone_number": "229-528-4546",
            "fax_number": "229-528-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "GRANVILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-528-4546",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lindsey Abbott, PHARMD
• Richard Glen Baker, FNP
• Robert C Bowman, MD
• Pamela C. Collier, F.N.P.-C
• Heartfelt Assistance LLC
• Kanyjia Zonet Henley
• Omega Family Medicine, LLC
• Omega Pharmacy LLC

• Specialist in Omega, GA
• Providers in Omega, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.