Southcare of Douglas, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

034-R-0641 Issued in GA

Legal business name

SOUTHCARE OF DOUGLAS, INC

Practice address

208 Peterson Ave S
Suite 203
Douglas, GA 31533-5239

Phone

(404) 552-4361

Fax

(229) 888-3558

NPI assigned

Feb 21, 2010

Last updated

Feb 21, 2010By 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

Ms. George Echebelem

Title

Operating Officer

Phone

(404) 552-4361

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266710400000",
    "number": "1639491459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PETERSON AVE S",
            "address_2": "SUITE 203",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315335239",
            "telephone_number": "404-552-4361",
            "fax_number": "229-888-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PETERSON AVE S",
            "address_2": "SUITE 203",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315335239",
            "telephone_number": "404-552-4361",
            "fax_number": "229-888-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCARE OF DOUGLAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-21",
        "last_updated": "2010-02-21",
        "status": "A",
        "authorized_official_last_name": "ECHEBELEM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OPERATING OFFICER",
        "authorized_official_telephone_number": "404-552-4361",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "034-R-0641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Central Primary Care Center, Inc (Coffee County High School)
• South Central Primary Care Center, Inc. (Douglas Family Health)
• South Georgia Cosmetic & General Dentistry
• South Georgia Eye Partners PC
• South Georgia Therapy Center
• Southeast Lung & Critical Care Specialists
• Southeastern Home Health Inc (Rotech)
• Southeastern Neuromuscular Massage Therapy, Inc.
• Southeastern Orthopaedics Surgery Center
• Southeastern Orthopedics

• Home Health Agency in Douglas, GA
• Providers in Douglas, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2010; 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.