Active NPI
Southland Dodge Hospitalist Services LLC
- Hospitalist Physician
- Eastman, GA
National Provider Identifier
1346894334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- SOUTHLAND DODGE HOSPITALIST SERVICES LLC
- Practice address
- 901 Griffin Ave
Eastman, GA 31023-6784 - Phone
- (478) 448-4000
- NPI assigned
- Jul 29, 2019
- Last updated
- Jul 29, 2019
- 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
- Stephanie Fletcher
- Title
- Cfo
- Phone
- (229) 236-0831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
901 Griffin Ave
Eastman, GA 31023-6784
Mailing address
100 S Madison St
Thomasville, GA 31792-5473
Phone (229) 236-0831
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Eastman |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564358400000",
"number": "1346894334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MADISON ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925473",
"telephone_number": "229-236-0831",
"fax_number": "229-236-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 GRIFFIN AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310236784",
"telephone_number": "478-448-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHLAND DODGE HOSPITALIST SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "229-236-0831"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Eastman",
"affiliation": "N",
"address_1": "901 Griffin Ave",
"city": "Eastman",
"state": "GA",
"country_code": "US",
"postal_code": "310236784",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eastman, GA
- Southern Home Care Services, Inc.
- Southern Home Care Services, Inc. (ResCare HomeCare)
- Southern Home Care Services, Inc. (ResCare HomeCare)
- Southern Home Care Services, Inc.
- Southland Dodge Emergency Medical Services, LLC
- Edward F Stringer IV, M.D.
- Chelse Louise Stuckey
- Sharon Kaye Stuckey
- Sweet Georgia Emergency Physicians
- Brianna Swindell, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.