Porter Field Health & Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10111916 Issued in GA

Legal business name

PORTER FIELD HEALTH & REHAB CENTER LLC

Doing business as

Hartley Woods Health & Rehab

Practice address

3051 Whiteside Rd
Macon, GA 31216-6209

Phone

(478) 788-1421

Fax

(478) 781-0987

NPI assigned

Dec 13, 2006

Last updated

Mar 31, 2008By 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

Tygh Brogdon

Title

Manager

Phone

(770) 650-8773

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hartley Woods Health & Rehab Doing business as

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1740341312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 WHITESIDE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166209",
            "telephone_number": "478-788-1421",
            "fax_number": "478-781-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 WHITESIDE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166209",
            "telephone_number": "478-788-1421",
            "fax_number": "478-781-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER FIELD HEALTH & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "TYGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-650-8773"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10111615",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10111916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00222582A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartley Woods Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Terrell Pope, MD
• Samantha Pope
• Wood D Pope, M.D.
• Poplar Physicians, LLC
• Porter Field Health & Rehab Center LLC
• Alexandra H Porter, NP
• Melanie Latrice Porter, D.D.S.
• Harry Jacob Portman
• Positive Behavior Supports
• Positive Innovations, LLC

• Skilled Nursing Facility in Macon, GA
• Providers in Macon, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.