Clay County Medical Center, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CLAY COUNTY MEDICAL CENTER, PC

Practice address

305 Washington St S
Fort Gaines, GA 39851-4315

Phone

(229) 768-3888

Fax

(229) 768-3889

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Karen S Kinsell, M.D.NPI 1750464855

Title

President

Phone

(229) 768-3888

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Sue Kinsell, M.D.

  • Public Health & General Preventive Medicine Physician
  • Fort Gaines, GA
  • NPI 1750464855

  GA

  Medicare reassignment Authorized official
• Temeka Taylor Buggs

  • Family Nurse Practitioner
  • Fort Gaines, GA
  • NPI 1154817799
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1508923210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "FORT GAINES",
            "state": "GA",
            "postal_code": "398510281",
            "telephone_number": "229-768-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WASHINGTON ST S",
            "city": "FORT GAINES",
            "state": "GA",
            "postal_code": "398514315",
            "telephone_number": "229-768-3888",
            "fax_number": "229-768-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "KINSELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-768-3888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720189F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "11D0950627",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albany Area Primary Health Care, Inc.
• Temeka Taylor Buggs
• Clay County Board of Commissioners
• Clay County Board of Health
• Clay County Community Health Center, Inc.
• Clay County School System
• Jessica Michelle Collins, APRN
• Cricket Drugs, Inc
• Cricket Drugs, Inc
• Joseph Kizito Egbebike, PHD.,PT

• All providers in Fort Gaines, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.