Tattnall Healthcare LLC.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

TATTNALL HEALTHCARE LLC.

Doing business as

Glenville Medical Clinic

Practice address

121 N Caswell St
Glennville, GA 30427-2017

Phone

(912) 654-1080

NPI assigned

May 10, 2007

Last updated

Dec 6, 2007By 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

Mr. Joseph A Lewis

Title

C.F.O.

Phone

(912) 557-1000

Specialties & licenses 1

Addresses

Other names 1

• GLENVILLE MEDICAL CLINIC Doing business as

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1619182102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N CASWELL ST",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304272017",
            "telephone_number": "912-654-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N CASWELL ST",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304272017",
            "telephone_number": "912-654-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATTNALL HEALTHCARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "912-557-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENVILLE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawna Sturges Strub, OD
• Sutton Place (Dylantess Inc)
• Pamela Swain
• Tattnall County Board of Health (Tattnall County Health Department-Glennville)
• Tattnall Healthcare LLC (Tattnall Primary Care)
• Tattnall Hospital Company, LLC (Optim Primary Care- Glennville)
• Leeanne Dubois Taylor
• Thompson Medical Associates, LLC
• Paul W Thompson, M.D.
• Becky Conley Tucker, NP

• Rural Health Clinic/Center in Glennville, GA
• Providers in Glennville, GA by specialty
• Rural Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.