Shuman Healthcare of Homerville

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHUMAN HEALTHCARE OF HOMERVILLE

Practice address

625 S Church St
Homerville, GA 31634-3019

Phone

(912) 487-0014

NPI assigned

Mar 9, 2010

Last updated

Jul 19, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

SHUMAN HEALTHCARE OF WAYCROSSAs reported in NPPES

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

Authorized official

Name

Bucky P Goble

Title

Operations Manager

Phone

(912) 285-5272

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

Shuman Healthcare of Homerville

Locations

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1942523717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S CHURCH ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316343019",
            "telephone_number": "912-487-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S CHURCH ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316343019",
            "telephone_number": "912-487-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUMAN HEALTHCARE OF HOMERVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHUMAN HEALTHCARE OF WAYCROSS",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "GOBLE",
        "authorized_official_first_name": "BUCKY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "912-285-5272"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000139455A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Lawrence Proctor, RN
• Roger W Huelsnitz MD PC
• Samuel B Cobarrubias MD, PC
• Charles Semones, M.D.
• Shannon D Smith D. C P.C (Smith Family Chiropractic)
• Stephanie Rena Sloan, PHARMD
• Anita H Smith, CPHT
• Shannon Davis Smith, DC
• South Georgia Medical Services
• Southern Healthcare Systems LLC

• Durable Medical Equipment & Medical Supplies in Homerville, GA
• Providers in Homerville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.