Active NPI
State Drug Testing & Occupational Health, Inc.
- Occupational Medicine Clinic/Center
- Garden City, GA
National Provider Identifier
1154946101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2208900 | State Drug Testing & Occupational Health | Certificate of waiver | Jan 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Garden City, GA
- NPI 1669227948
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
- Savannah Area Behavioral Health Collabortive
- Elizabeth V Schulz, MD
- Brenda Suzanne Sharp, RPH
- Connie Denise Singleton, D.C.
- Solicitous Home Care Services ,LLC (Solicitous Non-Medical Home Care Service,LLC)
- Robert Thomas Stockfisch, M.D.
- Richard Wallace Thomas, M.D.
- Charles Rex Thompson II, PHARMD
- Madison Voss Tomberlin, FNP-C
- U.S. Medical Group of Tennessee, LLC
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.