NPI age
18 years
Enumerated 2007-06-08
● Active Type 2 · Organization
Subpart
Eisenhower Army Medical Center
Eisenhower Army Medical Center is 1 of 46 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Primos
Ubo Manager
Last NPPES update
2013-01-29
Source: monthly bulk 2026-05
How this organization compares
Across 46 active clinic/center providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
300 W Hospital Rd, Usa Oral Health Center
Fort Gordon, GA 309055741
Mailing address
300 W Hospital Rd Bldg W, Attn McHf-Pad
Fort Gordon, GA 309055741
Authorized official
Marvin Primos
Ubo Manager
📞 7067877204
Individual providers at this organization
20 individual providers on file at this primary practice address.
- John Albrecht, PHD Psychologist NPI 1508965500
- Nettie Albrecht, PH.D. Psychologist NPI 1790705408
- Kaitlyn Ale, PA-C Physician Assistant NPI 1316202229
- William Arnett, M.D. Emergency Medicine NPI 1255627246
- Benjamin Arthur, M.D. Family Medicine NPI 1831472463
- Stanley Ash, LPN Licensed Practical Nurse NPI 1770968141
- Olasimbo Babatope, MD Psychiatry & Neurology NPI 1528126539
- Ronette Bailey, LCSW Social Worker NPI 1710284161
- Mark Barron, PH.D. Psychologist NPI 1457373516
- Madalyn Bartels, DO Student in an Organized Health Care Education/Training Program NPI 1184290991
- Christopher Bazemore, D.O. Radiology NPI 1265813760
- Mario Beltran, MHS Counselor NPI 1265509590
- Lavonnda Best, F.N.P. Nurse Practitioner NPI 1669491213
- Eugene Beverly, MPA-C Physician Assistant NPI 1861657447
- Jennifer Bierly, MS, ATC Specialist/Technologist NPI 1689078826
- Mary Black, MD Pediatrics NPI 1780716084
- Alvin Blackmon, PHARMD Pharmacist NPI 1104125095
- Michael Boehm, MD Internal Medicine NPI 1750300141
- David Bookstaver, PHARMD Pharmacist NPI 1831265537
- Scott Boyer, P.T., DPT, OCS Physical Therapist NPI 1003046608
Specialties
-
Clinic/Center PrimaryThe 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
USADC FT. GORDON ORAL HLTH CTR
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Eisenhower Army Medical Center.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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