TMC-4-FT. GORDON
NPI 1669687414
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Gordon, GA
NPI Status: Active since May 14, 2007
Contact Information
300 W HOSPITAL RD
FORT GORDON, GA
ZIP 30905
Phone: (706) 787-5811
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About TMC-4-FT. GORDON
This page provides the complete NPI Profile along with additional information for Tmc-4-ft. Gordon, a provider established in Fort Gordon, Georgia operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1669687414 assigned on May 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Tmc-4-ft. Gordon. The authorized official of this NPI record is Marvin Primos (Ubo Manager)
- NPI
- 1669687414
- Provider Legal Name
- EISENHOWER ARMY MEDICAL CENTER
- Other Organization Name
- TMC-4-FT. GORDON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 300 W HOSPITAL RD FORT GORDON, GA 30905
- Location Phone
- (706) 787-5811
- Mailing Address
- 300 W HOSPITAL RD BLDG W ATTN MCHF-PAD FORT GORDON, GA 30905
- Mailing Phone
- (706) 787-1125
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-14-2007
- Last Update Date
- 01-29-2013
- 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
Clinic/Center Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| VAD000 | MEDICARE UPIN (02) | ||
| 1578660742 | OTHER (01) | PARENT FACILITY NPI | |
| OTH000 | MEDICARE UPIN (02) |
Reviews for TMC-4-FT. GORDON
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 6 | 8 | 7 | 4 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 12 | 8 | 14 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 2 + 8 + 1 + 4 + 4 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1669687414 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922007467 | DR. JOHN KEENAN WILSON MD Individual | Internal Medicine | 300 W HOSPITAL RD BUILDING 300 FORT GORDON, GA 30905 (706) 787-6945 |
| 1720193360 | DR. JOSEPH CLIFTON WOOD PH.D. M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER AUGUSTA, GA 30905 (706) 787-2875 |
| 1508932807 | DR. MORGAN WHALEY MD Individual | Family Medicine | 300 W HOSPITAL RD EAMC CREDENTIALS FORT GORDON, GA 30905 (706) 787-2720 |
| 1164598645 | DR. JAMES ROBERT PEEL M.D. Individual | Clinic/Center | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS FORT GORDON, GA 30905 (706) 787-2720 |
| 1912073313 | DR. PAUL S. DROHAN M.D. Individual | Otolaryngology | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER AUGUSTA, GA 30905 (706) 787-2720 |
| 1679640676 | MR. DANIEL F MCFERRAN MSW Individual | Social Worker (Clinical) | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER, CREDENTIALS FORT GORDON, GA 30905 (706) 787-2720 |
| 1184791154 | MR. RONALD GENE COOK DPH Individual | Pharmacist | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS FORT GORDON, GA 30905 (706) 787-2720 |
| 1699842674 | DR. NANCY ANN HARPOLD DO Individual | Psychiatry & Neurology (Psychiatry) | 300 W HOSPITAL RD DDEAMC AUGUSTA, GA 30905 (706) 787-3143 |
| 1265509590 | MR. MARIO BELTRAN MHS Individual | Counselor (Addiction (Substance Use Disorder)) | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS FORT GORDON, GA 30905 (706) 787-2720 |
| 1205904927 | MRS. JAMIE GROVE CRESSEND MPT Individual | Physical Therapist | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS FORT GORDON, GA 30905 (706) 787-2720 |
| 1417016783 | DR. DAVID A SHAPIRO M.D. Individual | Contractor | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER -CREDENTIALS FORT GORDON, GA 30905 (706) 787-2154 |
| 1942361779 | MS. MARGARET R. SOUERS LCSW Individual | Counselor (Addiction (Substance Use Disorder)) | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER, ASAP, 12-W FORT GORDON, GA 30905 (706) 787-5505 |
| 1740341429 | MR. JOHN DAVID SANDERS Individual | Physician Assistant | 300 W HOSPITAL RD FORT GORDON, GA 30905 (706) 787-4697 |
| 1396807681 | MS. BRENDA L. GALEAS CRNA Individual | Nurse Anesthetist, Certified Registered | 300 W HOSPITAL RD EISENHOWER AMC AUGUSTA, GA 30905 (706) 787-2720 |
| 1538221122 | DR. DANIEL FIELDS LEE DO Individual | Internal Medicine (Pulmonary Disease) | 300 W HOSPITAL RD DWIGHT D EISENHOWER ARMY MEDICAL CENTER FORT GORDON, GA 30905 (706) 787-2252 |
| 1225190754 | MS. MARIA TERESA RICHARD PAC Individual | Physician Assistant (Medical) | 300 W HOSPITAL RD FORT GORDON, GA 30905 (706) 727-2720 |
| 1467514521 | JAMES JAY GERACCI MD Individual | Family Medicine | 300 W HOSPITAL RD FORT GORDON, GA 30905 (706) 787-9355 |
| 1962564757 | MS. LAURISSA RANEEK FOLK RN, BSN Individual | Registered Nurse | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER ATTENTION CREDENTIALS FORT GORDON, GA 30905 (706) 787-2720 |
| 1992867808 | MRS. JACQUELINE MILLENDER Individual | Social Worker (Clinical) | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER-CREDENTIALS FORT GORDON, GA 30905 (706) 787-8176 |
| 1598827438 | MS. JACQUELINE F HILLESLAND LISW-CP Individual | Social Worker (Clinical) | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER AUGUSTA, GA 30905 (706) 787-2720 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669687414, enumerated in the NPI registry as an "organization" on May 14, 2007
The provider is located at 300 W Hospital Rd Fort Gordon, Ga 30905 and the phone number is (706) 787-5811
This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.