John D. Archbold Memorial Hospital, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

136-91 Issued in GA

Legal business name

JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.

Doing business as

Thomas Primary Care Clinic

Practice address

440 Smith Ave
Thomasville, GA 31792-5535

Phone

(229) 227-5510

Fax

(229) 227-5527

NPI assigned

Oct 4, 2006

Last updated

May 8, 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

Mr. Charles D. Hightower Jr.

Title

Cfo

Phone

(229) 228-2853

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thomas Primary Care Clinic Doing business as

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1851486005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255",
            "telephone_number": "229-228-8800",
            "fax_number": "229-228-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925535",
            "telephone_number": "229-227-5510",
            "fax_number": "229-227-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-228-2853",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "136-91",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000063I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John D. Archbold Memorial Hospital, Inc. (Glenn-Mor Nursing Home)
• John D. Archbold Memorial Hospital, Inc. (Archbold Hospital Pharmacy)
• John D. Archbold Memorial Hospital, Inc. (Southwest Georgia Dialysis Facility)
• John D. Archbold Memorial Hospital, Inc. (Archbold Northside)
• John D. Archbold Memorial Hospital, Inc. (John D. Archbold Memorial Hospital - vRadTN)
• John L. Taylor, Jr., M.D., PA (Plantation Gynecology)
• Frederick Dwayne Johnson Jr., M.D.
• Jerry Steven Johnson, M.D.
• Kaila Nicole Johnson, PHARMD
• Marlin S Johnson, D.M.D.

• Rural Health Clinic/Center in Thomasville, GA
• Providers in Thomasville, 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 May 8, 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.