Active NPI
Southland Bainbridge Hospitalist Group, LLC
- Hospitalist Physician
- Bainbridge, GA
National Provider Identifier
1356735336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- SOUTHLAND BAINBRIDGE HOSPITALIST GROUP, LLC
- Practice address
- 1500 E Shotwell St
Bainbridge, GA 39819-4256 - Phone
- (229) 236-0831
- NPI assigned
- Mar 27, 2015
- Last updated
- Mar 27, 2015
- 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 L Fletcher
- Title
- Cfo
- Phone
- (229) 520-7115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1500 E Shotwell St
Bainbridge, GA 39819-4256
Mailing address
100 S Madison St
Thomasville, GA 31792-5473
Phone (229) 236-0831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575
Practitioners & affiliated clinicians
Practitioners 164
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.
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- Blue Ridge, GA
- NPI 1992391346
-
- Family Nurse Practitioner
- Reidsville, GA
- NPI 1659922722
-
- Family Medicine Physician
- Adel, GA
- NPI 1053999458
-
- Internal Medicine Physician
- Rome, GA
- NPI 1457980948
-
- Family Medicine Physician
- Macon, GA
- NPI 1760123087
-
- Internal Medicine Physician
- Hinesville, GA
- NPI 1346239639
-
- Internal Medicine Physician
- Thomasville, GA
- NPI 1013114305
-
- Internal Medicine Physician
- Cordele, GA
- NPI 1245344928
-
- Family Nurse Practitioner
- Reidsville, GA
- NPI 1598896680
-
- Family Medicine Physician
- Valdosta, GA
- NPI 1104051119
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1083966709
-
- Emergency Medicine Physician
- Douglas, GA
- NPI 1528169190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427414400000",
"number": "1356735336",
"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": "1500 E SHOTWELL ST",
"city": "BAINBRIDGE",
"state": "GA",
"postal_code": "398194256",
"telephone_number": "229-236-0831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHLAND BAINBRIDGE HOSPITALIST GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2015-03-27",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "229-520-7115"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge, GA
- South Albany Pharmacy (U Save It Pharmacy Bainbridge)
- South Albany Pharmacy LLC (U Save It Pharmacy Bainbridge LTC)
- South Georgia Spine and Joint Center, LLC (South Georgia Spine and Joint Center)
- Southern Serenity Home Care
- Southern Serenity Wellness
- Southland Childrens Dentistry Bainbridge LLC
- Speech Therapy Services, P. C.
- Ginger Spence, PHARMD
- Tiffany Kathleen Spooner, RPH
- Charles Tanner Stafford, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.