The Kessler Community Clinic, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

PENDING Issued in GA

Legal business name

THE KESSLER COMMUNITY CLINIC, INC.

Practice address

43 East Tennessee Ave
McCaysville, GA 30555

Phone

(706) 492-4045

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By 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

Susan Abrams Greene, RN, MSN, GNP

Title

Founder

Phone

(706) 492-4045

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225150345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "MC CAYSVILLE",
            "state": "GA",
            "postal_code": "305550321",
            "telephone_number": "706-492-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 EAST TENNESSEE AVE",
            "city": "MCCAYSVILLE",
            "state": "GA",
            "postal_code": "30555",
            "telephone_number": "706-492-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KESSLER COMMUNITY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ABRAMS",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "706-492-4045",
        "authorized_official_credential": "RN, MSN, GNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "8302313",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Highland Rivers Community Service Board
• McCaysville Drug Center Inc
• McCaysville Drug Center Inc
• Houston L Rogers Jr., PHARMD
• Shirley Ann Spooner, PH.D.
• Frank Henderson Wood II, MD

• Rural Health Clinic/Center in McCaysville, GA
• Providers in McCaysville, GA by specialty
• Rural Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.