HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA (NPI# 1194141549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194141549 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA |
| Other Organization Name | SGMC LAKELAND VILLA |
| Practice Address |
120 W Thigpen Ave Lakeland GA 31635-1011 |
| Mailing Address |
Po Box 9 Valdosta GA 31603-0009 |
| Practice Telephone | 2294828421 |
| Practice Fax Number | 2294828543 |
| Mailing Telephone | 2294828421 |
| Mailing Fax Number | 2294828543 |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | MRS. JULIE HODGES (CONTROLLER) |
| Authorized Official Telephone | 2292594140 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1-086-2043 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000141732A | 05 |
| Other Name | Type Code |
|---|---|
| SGMC Lakeland Villa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447591649 | Hospital Authority of Valdosta and Lowndes County, Georgia | Clinic/Center | 603 E Dennis Ave, Nashville, GA 31639-2510 | 2013-03-13 |
| 1225412596 | Hospital Authority of Valdosta and Lowndes County, Georgia | Clinic/Center | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2015-07-16 |
| 1962886630 | Hospital Authority of Valdosta and Lowndes County, Georgia | Clinic/Center | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2015-07-13 |
| 1629495569 | Hospital Authority of Valdosta and Lowndes County, Georgia | Skilled Nursing Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-27 |
| 1932525383 | Hospital Authority of Valdosta and Lowndes County, Georgia | Medicare Defined Swing Bed Unit | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
| 1518382217 | Hospital Authority of Valdosta and Lowndes County, Georgia | General Acute Care Hospital | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-04 |
| 1699114827 | Hospital Authority of Valdosta and Lowndes County, Georgia | Family Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2013-06-20 |
| 1780023911 | Hospital Authority of Valdosta and Lowndes County, Georgia | General Acute Care Hospital | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2013-06-20 |
| 1720329964 | Hospital Authority of Valdosta and Lowndes County, Georgia | Medicare Defined Swing Bed Unit | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2013-03-13 |
| 1174864417 | Hospital Authority of Valdosta and Lowndes County, Georgia | Psychiatric Unit | 1221 E Mcpherson Ave, Nashville, GA 31639-2326 | 2013-03-12 |
| Street Address |
120 W THIGPEN AVE |
| City | LAKELAND |
| State | GA |
| Zip Code | 31635-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629495569 | Hospital Authority of Valdosta and Lowndes County, Georgia | Skilled Nursing Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730252479 | South Georgia Csb | Clinic/Center | 321 W Brantley, Lakeland, GA 31635 | 2006-11-17 |
| 1427128545 | Lanier County Board Sbs | Local Education Agency (LEA) | Hwy 221 South, Lakeland, GA 31635 | 2006-11-08 |
| 1073662805 | Deep South Ambulance Service, Inc | Ambulance | 37 Peachtree Street, Lakeland, GA 31635-0067 | 2007-01-10 |
| 1558318337 | Lanier Health Services, Inc | Nursing Facility/Intermediate Care Facility | 852 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-05-27 |
| 1093921629 | Lanier County Ambulance Service | Ambulance | 116 W Thigpen Ave, Lakeland, GA 31635-1006 | 2007-05-14 |
| 1649284001 | James A Harrell | Emergency Medicine | 852 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-07-28 |
| 1023060084 | Lanier Health Services, Inc. | Medicare Defined Swing Bed Unit | 116 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-05-17 |
| 1558775411 | Kristen Ley | Nurse Practitioner | 106 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-06-18 |
| 1144270711 | Lanier Health Services, Inc. | General Acute Care Hospital | 116 W Thigpen Ave, Lakeland, GA 31635-1011 | 2006-05-12 |
| 1083122709 | Ashley Exum | Nurse Practitioner | 106 W Thigpen Ave, Lakeland, GA 31635-1011 | 2018-01-16 |
| Find all providers in zip 31635 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1558318337 | Lanier Health Services, Inc | Nursing Facility/Intermediate Care Facility | 852 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-05-27 |
| 1003024456 | Donna Louise Worley | Nursing Facility/Intermediate Care Facility | 4240 Lakeland Highlands Rd, Lakeland, FL 33813-3113 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861937187 | Organnizer | Nursing Facility/Intermediate Care Facility | 2320 Highway 20 Se, Conyers, GA 30013-2426 | 2016-12-22 |
| 1508228370 | Correcthealth Gdc, LLC | Nursing Facility/Intermediate Care Facility | 1 Bostick Cir, Milledgeville, GA 31062-7526 | 2016-03-22 |
| 1760856645 | 363l00000x | Nursing Facility/Intermediate Care Facility | 2171 Peachtree Rd Ne, Apt 306, Atlanta, GA 30309-6300 | 2015-11-16 |
| 1568846798 | Your Elite Companion Sitting and Healthcare Services | Nursing Facility/Intermediate Care Facility | 3235 Satellite Blvd, Bldg 400 Suite 300, Duluth, GA 30096-8687 | 2015-07-17 |
| 1255768024 | Department of Juvenile Justice | Nursing Facility/Intermediate Care Facility | 450 Crescent Dr, Gainesville, GA 30501-5079 | 2013-10-10 |
| 1043576812 | Call To Arm | Nursing Facility/Intermediate Care Facility | 4066 Christacy Way, Marietta, GA 30066-2786 | 2012-04-06 |
| 1881824928 | Tedla-kebede Corp | Nursing Facility/Intermediate Care Facility | 3424 Old Suttons Way, Marietta, GA 30062-4187 | 2009-07-23 |
| 1164642484 | Skidaway Health and Living Services, Inc. | Nursing Facility/Intermediate Care Facility | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2007-04-27 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| 1366461857 | Evans Memorial Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 721 N Downing Musgrove Hwy, Glennville, GA 30427-2208 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.