MEDICARE: RINCON MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center	046877	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548596737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RINCON MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 190
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-0190
Country	:	US
Telephone Number	:	912-295-5560
Fax Number	:	912-295-5562

Provider Business Practice Location Address
First Line	:	119 CHIMNEY RD
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-5541
Country	:	US
Telephone Number	:	912-826-0229
Fax Number	:	912-826-0449

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SLAVKO MEDICAL KUKUCKA
Credential	:	MD
Telephone Number	:	912-295-5560

Provider Enumeration Date	:	10/23/2009
Last Update Date	:	06/02/2026

Similar Medicare Providers

1386167195 — MRS. JESSICA WARNER SWINDELL FNP
Practice Location Address:

119 CHIMNEY RD
RINCON, GA
31326-5541

Practice Phone: 912-295-5560
Practice Fax: 912-295-5560

1760017206 — EVELIA JOHNSEN NP
Practice Location Address:

119 CHIMNEY RD
RINCON, GA
31326-5541

Practice Phone: 912-295-5560
Practice Fax: 912-295-5562

1962289793 — MISTY DAWN FERBERT FNP
Practice Location Address:

119 CHIMNEY RD
RINCON, GA
31326-5541

Practice Phone: 912-295-5560
Practice Fax:

1003606260 — TIFFANIE MILLER
Practice Location Address:

119 CHIMNEY RD
RINCON, GA
31326-5541

Practice Phone: 912-295-5560
Practice Fax:

1376474486 — ALEXIS JASMINE SMALL RBT
Practice Location Address:

806 TOWNE PARK DR
RINCON, GA
31326-9368

Practice Phone: 912-208-4776
Practice Fax:

1093556565 — SARAI M GEORGE
Practice Location Address:

806 TOWNE PARK DR
RINCON, GA
31326

Practice Phone: 912-208-7553
Practice Fax:

Directions to “RINCON MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.