SOUTHEASTERN MILLS MIXING FACILITY & FLOUR MILL
NPI 1851808539
Non-Pharmacy Dispensing Site in Rome, GA

Active since January 04, 2018

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Non-Pharmacy Dispensing Site

About SOUTHEASTERN MILLS MIXING FACILITY & FLOUR MILL

This page provides the complete NPI Profile along with additional information for Southeastern Mills Mixing Facility & Flour Mill, a provider established in Rome, Georgia operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1851808539 assigned on January 2018. The practitioner's primary taxonomy code is 332900000X with license number 057556 (GA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Southeastern Mills Mixing Facility & Flour Mill. The authorized official of this NPI record is Matthew Gorman (Vp Of Corporate And Network Service)

NPI
1851808539 Verify this NPI
Provider Legal Name
FLOYD HEALTHCARE MANAGEMENT, INC.
Other Organization Name
SOUTHEASTERN MILLS MIXING FACILITY & FLOUR MILL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
100 E 1ST AVE ROME, GA 30161
Location Phone
(706) 291-6528
Mailing Address
420 E 2ND AVE STE 103 ROME, GA 30161
Mailing Phone
(706) 509-3000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2018
Last Update Date
08-08-2022
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
057556
License State
GA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW GORMAN

Authorized Official Title
VP OF CORPORATE AND NETWORK SERVICE
Authorized Official Phone
(706) 509-5000

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851808539, enumerated as an "organization" on January 04, 2018.

The provider is located at 100 E 1ST AVE ROME, GA 30161 and the phone number is (706) 291-6528.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.