BUCHANAN MEDICAL CLINIC (DENIS MORIN) NPI 1003020967

Clinic/Center (Primary Care) in Buchanan, GA

NPI 1003020967 Organization Clinic/Center Primary Care

About BUCHANAN MEDICAL CLINIC (DENIS MORIN)

Buchanan Medical Clinic (denis Morin) is a primary care provider established in Buchanan, Georgia specializing in clinic/center (primary care) . The NPI number of Buchanan Medical Clinic (denis Morin) is 1003020967 and was assigned on May 2007. The practitioner's primary taxonomy code is 261QP2300X with license number 024466 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Buchanan Medical Clinic. The authorized official of this NPI record is Melanie D Coggins (Office Manager)

A primary care provider (PCP) like Buchanan Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1003020967

Provider NameBUCHANAN MEDICAL CLINIC (DENIS MORIN)
Provider Location Address30 BUCHANAN BYP BUCHANAN, GA 30113
Provider Mailing Address30 BUCHANAN BYP BUCHANAN, GA 30113
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameBUCHANAN MEDICAL CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date05-10-2007
Last Update Date07-28-2010


Primary Taxonomy

Taxonomy Code261QP2300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care
License No.024466
License StateGA

Business Address

BUCHANAN MEDICAL CLINIC
30 BUCHANAN BYP
BUCHANAN, GA
ZIP 30113
Phone: (770) 646-8281
Fax: (770) 646-3579

Get Directions


Mailing Address

BUCHANAN MEDICAL CLINIC
30 BUCHANAN BYP
BUCHANAN, GA
ZIP 30113
Phone: (770) 646-8281
Fax: (770) 646-3579



Authorized Official

Authorized Official Name MELANIE D COGGINS
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(770) 646-8281

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
GRP4692MEDICARE PIN (08)GA
113959OTHER (01)
DD7682OTHER (01)
D40703MEDICARE UPIN (02)
231090380AMEDICAID (05)GA

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861483877MR. TIMOTHY J PARDOE P.A.-C.
Individual
Physician Assistant30 BUCHANAN BYP
BUCHANAN, GA 30113
(770) 646-8281
1932190840DR. DENIS MARCEL MORIN M.D.
Individual
Family Medicine30 BUCHANAN BYP
BUCHANAN, GA 30113
(770) 646-8281
1689770414DENIS MORIN
Organization
Clinic/Center (Rural Health)30 BUCHANAN BYP
BUCHANAN, GA 30113
(770) 646-8281
1811282346 JOHANNES D ENGELBRECHT M.D.
Individual
Family Medicine30 BUCHANAN BYP
BUCHANAN, GA 30113
(770) 646-8281
1841700382 MARNI BELL FEDERER NP-C
Individual
Nurse Practitioner (Family)30 BUCHANAN BYP
BUCHANAN, GA 30113
(770) 646-8281
1144865197 TIFFANIE WEBB TURNER NP
Individual
Nurse Practitioner (Family)30 BUCHANAN BYP
BUCHANAN, GA 30113
(770) 646-8281
1508801416TMC BUCHANAN FAMILY HEALTHCARE CENTER
Organization
Clinic/Center (Rural Health)30 BUCHANAN BYP
BUCHANAN, GA 30113
(770) 646-8281

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.