SSSS

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SSSS

Practice address

902 Pecan St
Nashville, GA 31639-1220

Phone

(229) 507-4701

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

F S, FNP

Title

Office Manager

Phone

(229) 507-4701

Specialties & licenses 1

Addresses

Practitioners 1

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

• David E Stidham, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Adel, GA
  • NPI 1700378049
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1922557792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 PECAN ST",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316391220",
            "telephone_number": "229-507-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PECAN ST",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316391220",
            "telephone_number": "229-507-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "S",
        "authorized_official_first_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-507-4701",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Georgia Medical Center Inc
• South Health District
• Southland-Nashville Emergency Services, LLC
• Southland-Nashville Emergency Services, LLC.
• Southwest Georgia Rehab, Inc
• Dena J Stainback, PHARMD
• Ansley Stanaland
• Kari Studstill, RN
• Tift Regional Health System Inc.
• Total Family Health Care, LLC

• Clinic/Center in Nashville, GA
• Providers in Nashville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.