NPI age
12 years
Enumerated 2013-07-18
● Active Type 2 · Organization
Dwight D Eisenhower Army Medical Center
Dwight D Eisenhower Army Medical Center is 1 of 12 military hospital organizations in Georgia.
Primary specialty
Military Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Quinn
Im Residency Program Director
Last NPPES update
2013-07-18
Source: monthly bulk 2026-05
How this organization compares
Across 12 active military hospital providers in Georgia.
NPI age
12 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
300 E Hospital Rd, Dwight D. Eisenhower Army Medical Center
Fort Gordon, GA 30905
Mailing address
300 E Hospital Rd, Dwight D. Eisenhower Army Medical Center
Fort Gordon, GA 30905
Authorized official
Michael Quinn, MD
Im Residency Program Director
📞 7067871647
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Dariam Acevedo Santiago Physical Therapist NPI 1225764830
- Lauren Bettencourt, DO Family Medicine NPI 1205687373
- Aaron Brothers, M.D. Urology NPI 1477874568
- Timothy Burch, PSY.D. Psychologist NPI 1649415191
- Christian Mark Carlos Student in an Organized Health Care Education/Training Program NPI 1578416764
- Shelley Carter, LCSW Social Worker NPI 1760492060
- Wallace Cleveland, PA-C Physician Assistant NPI 1821510033
- Matthew Dellen, MD Student in an Organized Health Care Education/Training Program NPI 1013641406
- Nicholas Destefano, MD General Practice NPI 1154776755
- Andrew Galdi, PA-C Physician Assistant NPI 1891123089
- Randy Georgemiller, PH.D. Clinical Neuropsychologist NPI 1205904950
- Waqas Haq, MD Internal Medicine NPI 1063152148
- Gregory Hill, MD General Practice NPI 1689209611
- Keyonna Jenkins, M.D. Physical Medicine & Rehabilitation NPI 1952749103
- Alexis Lauria, MD Surgery NPI 1427581099
- Jesse Laverdiere, DO Military Health Care Provider NPI 1982229399
- Lindsay Leskanich Nurse Practitioner NPI 1538403019
- Mary Markivich, PSY.D. Psychologist NPI 1639468952
- Matthew McLaughlin, DO Student in an Organized Health Care Education/Training Program NPI 1578292363
- Aldo Mendoza, PT Physical Therapist NPI 1790851277
Specialties
-
Military Hospital PrimaryA Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 12 Military Hospital providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.