JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. (NPI# 1194779702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194779702 |
| Entity Type | Organization |
| Organization Name | JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. |
| Practice Address |
915 Gordon Ave Thomasville GA 31792-6614 |
| Mailing Address |
920 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2292282000 |
| Mailing Telephone | 2292288800 |
| Mailing Fax Number | 2292288892 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | MR. GREGORY S. HEMBREE (CFO) |
| Authorized Official Telephone | 2292282880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 136-91 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BC/BS GA | 000020 | 01 |
| FL | 267978700 | 05 | |
| GA | 000000063A | 05 | |
| GA | TRAILBLAZER | 110038A000000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972635233 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1323 E Shotwell St, Bainbridge, GA 39819-4252 | 2007-03-12 |
| 1932296811 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1103 North Main Street, Pavo, GA 31778 | 2006-10-10 |
| 1114014669 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1034 South Pine Street, Coolidge, GA 31738 | 2006-10-06 |
| 1851486005 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 440 Smith Ave, Thomasville, GA 31792-5535 | 2006-10-04 |
| 1356372304 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 101 E Davis St, Quitman, GA 31643-1407 | 2006-07-06 |
| 1962433912 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1182 5th St Se, Cairo, GA 39828-3141 | 2006-07-06 |
| 1609807650 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 700 Gordon Ave, Bainbridge, GA 39819-5713 | 2006-07-06 |
| 1629000328 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 201 Old Albany Rd, Thomasville, GA 31792-4010 | 2006-07-06 |
| 1205867256 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 251 Us Highway 19 N, Camilla, GA 31730-1410 | 2006-07-06 |
| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| Street Address |
915 GORDON AVE |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902888357 | Elvin Coy Irvin Jr. | Family Medicine | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2005-11-18 |
| 1104459692 | Sallie Daniele Bussey | Nurse Practitioner | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2020-02-13 |
| 1023658697 | Melinda Greene | Occupational Therapist | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2020-01-13 |
| 1346714540 | Kenneth Daniel Anders | Physical Therapy Assistant | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2019-01-22 |
| 1902372550 | Lauren Taylor Froede | Nurse Practitioner | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2018-10-22 |
| 1821563354 | Mckayla B Noble | Anesthesiologist Assistant | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2018-10-11 |
| 1619442753 | Jennifer Breen Mills | Nurse Practitioner | 915 Gordon Ave, Thomasville, GA 31792-6699 | 2018-10-04 |
| 1457836520 | Donald Bruhn | Anesthesiologist Assistant | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2018-09-25 |
| 1205355419 | Anna Noteman Petrey | Nurse Practitioner | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2017-09-19 |
| 1174043590 | Robert Anello | Dietitian, Registered | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265088264 | Community General Health Partners, Inc. | General Acute Care Hospital | 207 Old Lexington Rd, Thomasville, NC 27360-3428 | 2019-08-15 |
| 1902468085 | Thomasville Regional Medical Center, LLC | General Acute Care Hospital | 300 Med Park Dr, Thomasville, AL 36784-5760 | 2019-06-28 |
| 1801848767 | Community General Health Partners, Inc. | General Acute Care Hospital | 207 Old Lexington Rd, Thomasville, NC 27360-3428 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
| Find all providers with the same taxonomy | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
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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.