NPI age
3 years
Enumerated 2022-10-19
● Active Type 2 · Organization
Subpart
Stephens County Hospital Physician Group, Llc
Stephens County Hospital Physician Group, Llc is 1 of 318 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Loskoski
Ceo
Last NPPES update
2022-10-19
Source: monthly bulk 2026-05
How this organization compares
Across 318 active clinic/center providers in Georgia.
NPI age
3 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-10Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
189 Bo James St Ste 105
Clayton, GA 305256199
Mailing address
189 Bo James St Ste 105
Clayton, GA 305256199
Authorized official
Thomas Loskoski
Ceo
📞 7062825841
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Timothy Beck, M.D. Internal Medicine NPI 1548223779
- Brian Jamail, PA-C Physician Assistant NPI 1538391776
- Pamila McIntyre, A-GNP-C Nurse Practitioner NPI 1902541527
- Monique Petteys, FNP-C Nurse Practitioner NPI 1902249675
- Garrett Surrency, ADVANCED CARE NP Nurse Practitioner NPI 1104348432
- John Williams, PA-C Physician Assistant NPI 1396141974
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
Subpart of Stephens County Hospital Physician Group, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.