NPIMap

Organization Active NPI

R T Stanley Health Center LLC

  • Rural Health Clinic/Center
  • Lyons, GA
National Provider Identifier
1790778736
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
138-476 Issued in GA
Legal business name
R T STANLEY HEALTH CENTER LLC
Doing business as
R T Stanley Health Center LLC
Practice address
110 RT Stanley Sr PL
Lyons, GA 30436-5623
Phone
(912) 526-9355
Fax
(912) 526-8622
NPI assigned
Aug 24, 2005
Last updated
Aug 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEAST REGIONAL PRIMARY CARE CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Tony M Osteen
Title
Cfo
Phone
(912) 535-8691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 138-476 GA Primary

Addresses

Primary practice location

110 RT Stanley Sr PL
Lyons, GA 30436-5623

Mailing address

PO Box 407
Vidalia, GA 30475-0407
Phone (912) 537-4986

Other names 1

  • R T STANLEY HEALTH CENTER LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Southeast Regional Primary Care Corporation

Locations

110 S State St
#R
Lyons, GA 30436
Phone (912) 526-9355

Interoperability endpoints

  • Direct secure messaging: candice.barfield@rts.gadirect.net
  • Direct secure messaging: christina.dacey@rts.gadirect.net
  • Direct secure messaging: christopher.scott@rts.gadirect.net
  • Direct secure messaging: gary.laubacker@rts.gadirect.net
  • Direct secure messaging: james.cornwell@rts.gadirect.net
  • Direct secure messaging: kathleen.bridges@rts.gadirect.net
  • Direct secure messaging: thomas.ferrari@rts.gadirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1790778736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750407",
            "telephone_number": "912-537-4986",
            "fax_number": "912-526-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RT STANLEY SR PL",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "304365623",
            "telephone_number": "912-526-9355",
            "fax_number": "912-526-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R T STANLEY HEALTH CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST REGIONAL PRIMARY CARE CORP",
        "enumeration_date": "2005-08-24",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "OSTEEN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-535-8691"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "138-476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R T STANLEY HEALTH CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "R T STANLEY HEALTH CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyons, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.