Rentz Health Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RN166580 Issued in GA

Legal business name

RENTZ HEALTH CARE

Practice address

2160 Highway 117
Rentz, GA 31075

Phone

(478) 984-1102

Fax

(478) 984-1103

NPI assigned

Nov 25, 2009

Last updated

Nov 25, 2009By 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

Mr. Jimmy H Maddox Jr., FNP-BC

Title

Owner

Phone

(478) 984-1102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1235467507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 HIGHWAY 117",
            "city": "RENTZ",
            "state": "GA",
            "postal_code": "31075",
            "telephone_number": "478-984-1102",
            "fax_number": "478-984-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 HIGHWAY 117",
            "city": "RENTZ",
            "state": "GA",
            "postal_code": "31075",
            "telephone_number": "478-984-1102",
            "fax_number": "478-984-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTZ HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-984-1102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RN166580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Cardenas, APRN
• Madison Chesak
• Jessica Martin Christian
• Tammy Pitts Radney, LPN

• Primary Care Clinic/Center in Rentz, GA
• Providers in Rentz, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.