Perry Park Neighborhood Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

RN051489 Issued in GA

Legal business name

PERRY PARK NEIGHBORHOOD CLINIC, INC.

Practice address

2211 Bartow St
Brunswick, GA 31520-5604

Phone

(912) 265-8131

Fax

(912) 265-1140

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Cathy Slay-Chipp, APRN-CNPI 1508925272

Title

Nurse Practitioner

Phone

(912) 265-8131

Specialties & licenses 1

Addresses

Other names 1

• Perry Park Clinic Other name

Practitioners 1

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.

• Cathy Slay-Chipp, APRN-C

  • Family Nurse Practitioner
  • Brunswick, GA
  • NPI 1508925272
  NPD Authorized official

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1477728996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 BARTOW ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315205604",
            "telephone_number": "912-265-8131",
            "fax_number": "912-265-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 BARTOW ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315205604",
            "telephone_number": "912-265-8131",
            "fax_number": "912-265-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY PARK NEIGHBORHOOD CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "SLAY-CHIPP",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "912-265-8131",
        "authorized_official_credential": "APRN-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "RN051489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Park Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pediatric Therapies of SE Ga, LLC
• Peds 'R US, P.C.
• Guy Peffer, LPC
• Marian Frances Pennington, M.D.
• Perniciaro Laboratories of Georgia PC
• Personal Transportation Services Inc. (Star Transportation)
• Pharmacare of Georgia Inc
• Sara E Phelps, O.D.
• Philip R. Saleeby, M.D., P.C.
• Physical Therapy Plus, Inc

• Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.