Southland Bainbridge Hospitalist Group, LLC
Organization Active NPI Hospitalist Physician · Bainbridge, GA
NPI 1356735336 · NPPES record last updated Mar 27, 2015
Key facts
- NPI
- 1356735336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- 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
- Organization subpart
- No
Authorized official
- Name
- Stephanie L Fletcher
- Title
- Cfo
- Phone
- (229) 520-7115
Practitioners 164
-
Vincent John Acunto, RN, FNP-C
-
Akash Anrude, DO
-
Rose Anzele, MD
-
Calin G Badea, M.D.
-
Prashant Baliga, M.D.
-
Elving Colon, MD
-
James Braxton Cox, D.O.
-
Joseph C Hand III, M.D.
-
Laneau Hayes, M.D.
-
Shaun Hoenstine, M.D.
-
Carter Jarrard, NP
-
Kristina Nicole Johnson, M.D.
-
Jay J Jones, MD
-
Muhammad Ali Niaz Khan, MBBS
-
James R. Kisselburg, M,D.
-
Sidney Joseph Morgan, M.D.
-
Kaleigh Odom, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150616002069 | GA | Part B Supplier - Clinic/Group Practice | 7214248335 |
Receives reassigned benefits from 163 practitioners Practice locations: Camilla, GA; Thomasville, GA; Reidsville, GA; Quitman, GA; Nashville, GA; Lakeland, GA; Homerville, GA; Hinesville, GA… |
National Provider Directory
Locations
462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068
903 N Court St
Quitman, GA 31643
Phone (229) 263-4531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | Yes |
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
Other providers in Bainbridge, GA
- South Albany Pharmacy
- South Albany Pharmacy LLC
- South Georgia Spine and Joint Center, LLC
- Southern Serenity Home Care
- Southern Serenity Wellness
- Southland Childrens Dentistry Bainbridge LLC
- Speech Therapy Services, P. C.
- Ginger Spence
- Tiffany Kathleen Spooner
- Charles Tanner Stafford
All providers in Bainbridge, GA · Hospitalist Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.