Southland Bainbridge Hospitalist Group, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

SOUTHLAND BAINBRIDGE HOSPITALIST GROUP, LLC

Doing business as

Southland Mitchell Hospitalist Group

Practice address

90 E Stephens St
Camilla, GA 31730-1836

Phone

(229) 336-5284

NPI assigned

May 12, 2016

Organization subpart

No

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

Authorized official

Name

Stephanie Fletcher, CPA

Title

Cfo

Phone

(229) 520-7115

Specialties & licenses 1

Addresses

Other names 1

• Southland Mitchell Hospitalist Group Doing business as

Practitioners 1

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

• Jonathan Williams, DO

  • Emergency Medicine Physician
  • Savannah, GA
  • NPI 1346391299
  NPD (past)

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1760838395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1276",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317991276",
            "telephone_number": "229-520-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E STEPHENS ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301836",
            "telephone_number": "229-336-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND BAINBRIDGE HOSPITALIST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-520-7115",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland Mitchell Hospitalist Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandria Lashae Simmons, CPT
• Tonya Slaughter
• Jason Henry Smith, M.D.
• Bret A Snow, PTA
• Southern Therapeutic Massage Studio LLC
• Southwest Georgia Compounding Pharmacy
• James Spann
• Brenda Stephens
• Jason E. Tew, D.C.
• Dedrick Thomas, BA SOCIOLOGY

• Hospitalist Physician in Camilla, GA
• Providers in Camilla, GA by specialty
• Hospitalist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.