Mt. Zion Community Reinvestment Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MT. ZION COMMUNITY REINVESTMENT CORPORATION

Doing business as

Samaritan Clinic

Practice address

802 N Jefferson St
Albany, GA 31701-2363

Phone

(229) 888-7420

Fax

(229) 888-7421

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nedra S Fortson, APRNNPI 1568804987

Title

Executive Director

Phone

(770) 330-8496

Specialties & licenses 1

Addresses

Other names 1

• Samaritan Clinic Doing business as

Locations

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.

• Nedra S Fortson, AGPCNP-BC, RN

  • Registered Nurse
  • Albany, GA
  • NPI 1568804987
  NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1528899135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012363",
            "telephone_number": "229-888-7420",
            "fax_number": "229-888-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012363",
            "telephone_number": "229-888-7420",
            "fax_number": "229-888-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. ZION COMMUNITY REINVESTMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "FORTSON",
        "authorized_official_first_name": "NEDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-330-8496",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernardina Mott
• Christina Moye, CCC-SLP
• Stanley J Moye, MD
• Mrs Homecare, Inc. (Mrs of Albany)
• MSK Home Care Solutions, LLC
• Julie A Muliford, NP
• Denicia Jackson Mulkey
• Kawana Kesia Mullins, PP
• Sanjay Munireddy, MD
• Alicia Wiggins Murphy, LCSW

• Family Medicine Physician in Albany, GA
• Providers in Albany, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.