MEDICARE: BERRIEN HEALTH CENTER, INC

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	332B00000X	Durable Medical Equipment & Medical Supplies	0745820001	GA
2	332BX2000X	Oxygen Equipment & Supplies (DME)	0745820001	GA
3	3336C0003X	Community/Retail Pharmacy	PHRE006158	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	:	1942264601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERRIEN HEALTH CENTER, INC

Provider Business Mailing Address
First Line	:	PO BOX 866
Second Line	:	414 E MCPHERSON AVE
City	:	NASHVILLE
State	:	GA
Zip	:	31639-0866
Country	:	US
Telephone Number	:	229-686-2203
Fax Number	:	229-686-2203

Provider Business Practice Location Address
First Line	:	414 E MCPHERSON AVE
Second Line	:
City	:	NASHVILLE
State	:	GA
Zip	:	31639-2275
Country	:	US
Telephone Number	:	229-686-2203
Fax Number	:	229-686-2203

Authorized Official
Title or Position	:	OWNER-PHARMACIST
Name	:	MR. HOMER L WHELCHEL
Credential	:	RPH CDM
Telephone Number	:	229-686-2203

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	09/11/2025

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Directions to “BERRIEN HEALTH CENTER, INC ” Practice Location

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