NPIMap

Organization Active NPI

I V Care of Middle Georgia Inc

  • Infusion Therapy Clinic/Center
  • Statesboro, GA
National Provider Identifier
1205585064
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
I V CARE OF MIDDLE GEORGIA INC
Doing business as
I V Care Options
Practice address
1213 Merchant Way
Statesboro, GA 30458-0876
Phone
(478) 374-6662
Fax
(478) 374-6663
NPI assigned
Mar 21, 2022
Organization subpart
Yes
Parent organization
I V CARE OF MIDDLE GEORGIA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Tammy T Peterson
Title
Cfo
Phone
(478) 374-6662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

1213 Merchant Way
Statesboro, GA 30458-0876

Mailing address

718 Medical Center Dr
Eastman, GA 31023-6736
Phone (478) 374-6662

Other names 1

  • I V Care Options Doing business as

National Provider Directory

National Provider Directory
Tax ID family
I V Care of Middle Ga4 organizations share this tax ID, including this one
Part of
I V Care of Middle Ga

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1213 Merchant Way
Statesboro, GA 30458
Phone (478) 374-6662

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1205585064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 MEDICAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236736",
            "telephone_number": "478-374-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MERCHANT WAY",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580876",
            "telephone_number": "478-374-6662",
            "fax_number": "478-374-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I V CARE OF MIDDLE GEORGIA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I V CARE OF MIDDLE GEORGIA INC",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-374-6662"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I V Care Options",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "I V Care Options",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.