Organization Active NPI

State Drug Testing & Occupational Health, Inc.

  • Occupational Medicine Clinic/Center
  • Garden City, GA
National Provider Identifier
1154946101
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
STATE DRUG TESTING & OCCUPATIONAL HEALTH, INC.
Practice address
24 W Chatham CT
Garden City, GA 31408-3051
Phone
(912) 446-1777
NPI assigned
Jun 15, 2020
Last updated
Jun 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Jean H Simmons
Title
Executive VP
Phone
(912) 446-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

24 W Chatham CT
Garden City, GA 31408-3051

Mailing address

PO Box 18240
Garden City, GA 31418-0240
Phone (912) 446-1777

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
11D2208900State Drug Testing & Occupational Health24 W Chatham Court, Garden City, GA 31408Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory

Locations

24 W Chatham Ct
Savannah, GA 31408
Phone (912) 446-1777

Practitioners & affiliated clinicians

Practitioners 1

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": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1154946101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18240",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314180240",
            "telephone_number": "912-446-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W CHATHAM CT",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314083051",
            "telephone_number": "912-446-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE DRUG TESTING & OCCUPATIONAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "912-446-1777"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.