TROOP MEDICAL CLINIC #4
NPI 1588653158
Clinic/Center - Military/U.S. Coast Guard Outpatient in Ft. Stewart, GA

Active since October 17, 2005
1061 HARMON AVE, STE 1D03, WINN ARMY COMMUNITY HOSPITAL, FT. STEWART, GA 31314(912) 435-6933 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Troop Medical Clinic #4 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TROOP MEDICAL CLINIC #4 (NPI 1588653158) is a healthcare organization registered as a military/u.s. coast guard outpatient in Ft. Stewart, Georgia and active in the NPI registry since October 2005. The organization lists Patrick Michael Parks, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1588653158
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameTROOP MEDICAL CLINIC #4
Location Address1061 HARMON AVE, STE 1D03, WINN ARMY COMMUNITY HOSPITALFt. Stewart, GA 31314-5611
Mailing Address92 Brittany CtRichmond Hill, GA 31324-5184 · (912) 727-3073
Organization SubpartNo
Authorized OfficialPatrick Michael ParksPhysician Assistant · (912) 435-5179
Enumeration DateOctober 17, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1588653158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
License Licensed in GA · 004529
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
1061 HARMON AVE, STE 1D03, Ft. Stewart, GA 31314

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1061 HARMON AVE, STE 1D03
FORT STEWART, GA 31314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Troop Medical Clinic #4's NPI number?

The NPI number for Troop Medical Clinic #4 is 1588653158. It was assigned to this organization in the NPPES registry on October 17, 2005.

Where is Troop Medical Clinic #4 located?

Troop Medical Clinic #4 is located at 1061 Harmon Ave, Ste 1d03 Winn Army Community Hospital, Ft. Stewart, GA 31314. The listed phone number is (912) 435-6933.

What is Troop Medical Clinic #4's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Troop Medical Clinic #4 was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.