Bacon County Health Services, Inc.
Organization Active NPI Orthopaedic Surgery Physician · Alma, GA
NPI 1639485394 · NPPES record last updated Aug 19, 2010
Key facts
- NPI
- 1639485394
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 063810 (GA)
- Legal business name
- BACON COUNTY HEALTH SERVICES, INC.
- Practice address
- 205 S Wayne St
Alma, GA 31510-2919 - Phone
- (912) 632-0260
- Fax
- (912) 632-9272
- NPI assigned
- Aug 19, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Cindy Turner
- Title
- Ceo
- Phone
- (912) 632-8961
Other NPIs on the same Medicare enrollment 3
Practitioners 8
-
Ian Furtado, M.D.
-
Khaldon A Al Saadi, M.D.
-
Katherine Ganas Harvell, FNP-BC
-
Neha Kakkar, M.D
-
Michelle Suzanne Lusk, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040127001164 | GA | Part B Supplier - Clinic/Group Practice | 1850294034 |
Receives reassigned benefits from 13 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alma, GA |
National Provider Directory
Locations
203 S Wayne St
Alma, GA 31510
Phone (912) 632-8288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | 063810 | GA | Yes |
Addresses
Primary practice location
205 S Wayne St
Alma, GA 31510-2919
Mailing address
302 S Wayne St
Alma, GA 31510-2922
Phone (912) 632-8961
Other names
- South Georgia Orthopaedic Group
Other providers in Alma, GA
- Bacon County Commissioners
- Bacon County Family Medicine, LLC
- Bacon County Health Services, Inc
- Bacon County Health Services, Inc.
- Bacon County Health Services, Inc.
- Bacon County Health Services, Inc.
- Bacon County Health SVC Inc
- Bacon County Hospital and Health System
- Bacon CS
- Claudia Jenny Beck
All providers in Alma, GA · Orthopaedic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.