Tattnall Healthcare LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

TATTNALL HEALTHCARE LLC

Doing business as

Tattnall Primary Care

Practice address

1002 N Downing Musgrove Hwy
Glennville, GA 30427-8603

Phone

(912) 654-4599

Fax

(912) 654-4648

NPI assigned

Aug 20, 2006

Last updated

Nov 13, 2007By 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

Mr. Joseph A Lewis

Title

Cfo

Phone

(912) 557-1000

Specialties & licenses 1

Addresses

Other names 1

• TATTNALL PRIMARY CARE Doing business as

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1831204924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N DOWNING MUSGROVE HWY",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304278603",
            "telephone_number": "912-654-4599",
            "fax_number": "912-654-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N DOWNING MUSGROVE HWY",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304278603",
            "telephone_number": "912-654-4599",
            "fax_number": "912-654-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATTNALL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-557-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TATTNALL PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Strickland's Pharmacy, Inc.
• Shawna Sturges Strub, OD
• Sutton Place (Dylantess Inc)
• Pamela Swain
• Tattnall County Board of Health (Tattnall County Health Department-Glennville)
• Tattnall Healthcare LLC. (Glenville Medical Clinic)
• Tattnall Hospital Company, LLC (Optim Primary Care- Glennville)
• Leeanne Dubois Taylor
• Thompson Medical Associates, LLC
• Paul W Thompson, M.D.

• Rural Health Clinic/Center in Glennville, GA
• Providers in Glennville, GA by specialty
• Rural Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.