Ty Cobb Healthcare System, Inc.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

Legal business name

TY COBB HEALTHCARE SYSTEM, INC.

Practice address

12134 Augusta Rd
Lavonia, GA 30553-1208

Phone

(706) 356-4450

NPI assigned

Dec 15, 2011

Organization subpart

No

Name

Ms. Patti Haley

Title

Healthworks Coordinator

Phone

(706) 356-4450

Organizations that report the same tax identification number in the National Provider Directory.

• Ty Cobb Healthcare System Long Term Care Pharmacy

  • Long Term Care Pharmacy
  • Royston, GA
  • NPI 1023092624
  NPD tax ID

Tax ID family

Healthworks - Cobb Memorial Hospital (2 organizations share this tax ID)

Locations

• HealthWorks - Cobb Memorial Hospital Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2011.

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1962771287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305530496",
            "telephone_number": "706-356-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12134 AUGUSTA RD",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305531208",
            "telephone_number": "706-356-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY COBB HEALTHCARE SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "HEALTHWORKS COORDINATOR",
        "authorized_official_telephone_number": "706-356-4450",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthWorks - Cobb Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda B Thomason, DO
• Toccoa Clinic Medical Associates
• Trinity Healthcare of Winston Salem, Inc.
• True Health Chiropractic, LLC
• Ty Cobb Healthcare System, Inc.
• Ty Cobb Regional Medical Center LLC
• Ty Cobb Regional Medical Center, Inc
• Vituity-Georgia Anesthesia PC
• Vituity-Georgia Hospitalists PC
• Walgreen Co

• All providers in Lavonia, GA
• Occupational Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.