Middle Georgia Nursing Home, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

10451015 Issued in GA

Legal business name

MIDDLE GEORGIA NURSING HOME, INC.

Practice address

556 Chester Hwy
Eastman, GA 31023-3717

Phone

(478) 783-4988

NPI assigned

Oct 18, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Coley

Title

Medicare Part B Coordinator

Phone

(478) 783-4988

Specialties & licenses 1

Addresses

Other names 1

• Middle Georgia Nursing Home Doing business as

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477542884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 INDUSTRIAL BLVD",
            "address_2": "P.O. BOX 1033",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310362106",
            "telephone_number": "478-783-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 CHESTER HWY",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310233717",
            "telephone_number": "478-783-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MEDICARE PART B COORDINATOR",
        "authorized_official_telephone_number": "478-783-4988"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "10451015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Georgia Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Center Prescription Shop
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• Middle Ga Family Practice LLC
• Middle Georgia Family Medicine,LLC
• Middle Georgia Nursing Home, Inc
• Middle Georgia Sleep & Wellness Center, LLC
• Middle Georgia Total Health Center, LLC
• Bart Steele Milner, P.A.
• Blake E Milner, M.D.
• Olubansile A Mimiko, M.D.

• Durable Medical Equipment & Medical Supplies in Eastman, GA
• Providers in Eastman, GA by specialty
• Durable Medical Equipment & Medical Supplies 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.