SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS – NPI #1659709152
Nurse Practitioner

SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS is a nurse practitioner located in SAINT MARYS, GA. NPPES has assigned the NPI number 1659709152 to SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS on October 17, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS” is a dba name, the actual legal business name for this organization is COOPERATIVE HEALTHCARE SERVICES INC. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS below.

NPI Profile for
COOPERATIVE HEALTHCARE SERVICES INC

NPI Number
1659709152
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COOPERATIVE HEALTHCARE SERVICES INC
Doing Business As (dba): SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS
Primary location
2040 DAN PROCTOR DR
SUITE 140
SAINT MARYS, GA 31558-3811
Phone: (912) 679-8000 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS is subpart of another organization.
Authorized Official
JUDY MARSHALL
MANAGER, PHYSICIAN PRACTICES
Phone: (912) 466-5520
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)		 GA RN191658

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.