EFFINGHAM OCCUPATIONAL MEDICINE
NPI 1245668417
Preventive Medicine - Occupational Medicine in Port Wentworth, GA
- Organization
- Preventive Medicine
- Occupational Medicine
- CLIA Number: 11D1105704
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 09-27-2027
About EFFINGHAM OCCUPATIONAL MEDICINE
This page provides the complete NPI Profile along with additional information for Effingham Occupational Medicine, a provider established in Port Wentworth, Georgia operating as a Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1245668417 assigned on October 2013. The practitioner's primary taxonomy code is 2083X0100X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Effingham Occupational Medicine. The authorized official of this NPI record is Dr. Fran Baker-witt Dnp, Mba, Lnha, Rn (Ceo)
- NPI
- 1245668417 Verify this NPI
- Provider Legal Name
- EFFINGHAM HOSPITAL, INC.
- Other Organization Name
- EFFINGHAM OCCUPATIONAL MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7306 GA HIGHWAY 21 STE 105 PORT WENTWORTH, GA 31407
- Location Phone
- (912) 966-2575
- Location Fax
- (912) 966-0906
- Mailing Address
- 459 HIGHWAY 119 SOUTH ATTN.: ALIA ALLEN/MEDICAL STAFF OFFICE SPRINGFIELD, GA 31329
- Mailing Phone
- (912) 754-0175
- Mailing Fax
- (912) 754-6395
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2013
- Last Update Date
- 06-07-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Occupational Medicine
- Taxonomy Code
- 2083X0100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1105704
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- September 28, 2025
- Certificate Expiration Date
- September 27, 2027
- Laboratory Director
- DR. JOHN R. BENNETT
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Effingham Occupational Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for EFFINGHAM OCCUPATIONAL MEDICINE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PORT WENTWORTH, GA 31407
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245668417, enumerated as an "organization" on October 24, 2013.
The provider is located at 7306 GA HIGHWAY 21 STE 105 PORT WENTWORTH, GA 31407 and the phone number is (912) 966-2575.
Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.
