Partners in Health Management, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

RN054469 Issued in GA

Legal business name

PARTNERS IN HEALTH MANAGEMENT, LLC

Practice address

202 West Gordon Street
Suite - a
Adel, GA 31601-4565

Phone

(229) 474-4101

Fax

(229) 349-6006

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Ebony Hillmon Scruggs, DNP, FNP-CNPI 1164953675

Title

Owner/Provider

Phone

(229) 474-4101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: janie.mcghin@phm.gadirect.net

Practitioners 2

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

• Ebony Hillmon-Scruggs, DNP, FNP-C

  • Family Nurse Practitioner
  • Valdosta, GA
  • NPI 1164953675
  Medicare reassignment Authorized official
• Lailani Bailon McClellan, FNP-C

  • Family Medicine Physician
  • Valdosta, GA
  • NPI 1386450443
  NPD

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1588028591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WEST GORDON STREET",
            "address_2": "SUITE - A",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316014565",
            "telephone_number": "229-474-4101",
            "fax_number": "229-349-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WEST GORDON STREET",
            "address_2": "SUITE - A",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316014565",
            "telephone_number": "229-474-4101",
            "fax_number": "229-349-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN HEALTH MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "HILLMON SCRUGGS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "229-474-4101",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "RN054469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Vision Inc
• Newhaven
• Tibebu Bekele Nigatu, RPH
• Nicole W Nimmo, LPC
• Margaret O'Berry
• Payalkumari Dilipbhai Patel
• Ladonna Shunta Peeples
• Sala Pressley, RPH
• Daniel Blake Purvis, PHARM D
• Grace Lisette Rivera, LDO

• Health Service Clinic/Center in Adel, GA
• Providers in Adel, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.