Satilla Health Management Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SATILLA HEALTH MANAGEMENT INC

Practice address

1921 Alice St
Suite 4a
Waycross, GA 31501-6200

Phone

(912) 283-5616

Fax

(912) 287-0788

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert M. Trimm

Title

Ceo

Phone

(912) 283-3030

Specialties & licenses 2

Addresses

Other names 1

• Satilla Convenient Care Doing business as

Practitioners 1

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

• Marie Grant Bates, ARNP

  • Family Nurse Practitioner
  • St Augustine, FL
  • NPI 1447458211
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1831295716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 ALICE ST",
            "address_2": "SUITE 4A",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016200",
            "telephone_number": "912-283-5616",
            "fax_number": "912-287-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 ALICE ST",
            "address_2": "SUITE 4A",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016200",
            "telephone_number": "912-283-5616",
            "fax_number": "912-287-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATILLA HEALTH MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "TRIMM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-283-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satilla Convenient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Satilla Cancer Treatment Centers, LLC
• Satilla Cancer Treatment Centers, LLC
• Satilla Family Medicine, P.C.
• Satilla Foot and Ankle, LLC
• Satilla Foot and Ankle, LLC
• Satilla Life Care
• Satilla Reliant Psychiatric Services, LLC
• Satilla Rheumatology and Internal Medicine, PC
• Satilla Spine Center
• Serenity Health & Wellness, LLC

• All providers in Waycross, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.