HOSPITAL AUTHORITY OF MITCHELL COUNTY (NPI# 1295820660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295820660 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF MITCHELL COUNTY |
| Other Organization Name | PELHAM PARKWAY NURSING HOME |
| Practice Address |
608 Dogwood Dr Ne Pelham GA 31779-1132 |
| Mailing Address |
920 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2292948602 |
| Mailing Telephone | 2292288800 |
| Mailing Fax Number | 2292288892 |
| Enumeration Date | 2006-10-03 |
| 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 | 314000000X | Skilled Nursing Facility | 1-101-125 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000142425A | 05 |
| Other Name | Type Code |
|---|---|
| Pelham Parkway Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003903022 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 37 S Ellis St, Camilla, GA 31730-1812 | 2006-10-10 |
| 1700830247 | Hospital Authority of Mitchell County | General Acute Care Hospital | 90 E Stephens St, Camilla, GA 31730-1836 | 2006-05-20 |
| 1235583857 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
| 1104270727 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
| 1740634336 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
| 1881960151 | Hospital Authority of Mitchell County | Clinic/Center | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2012-03-30 |
| 1962602730 | Hospital Authority of Mitchell County | Pharmacy | 90 E Stephens St, Camilla, GA 31730-1836 | 2007-07-20 |
| 1922211515 | Hospital Authority of Mitchell County | Clinic/Center | 259 Us Highway 19 North, Camilla, GA 31730-1410 | 2007-05-08 |
| 1437225356 | Hospital Authority of Mitchell County | Medicare Defined Swing Bed Unit | 90 E Stephens St, Camilla, GA 31730-1836 | 2006-11-24 |
| 1609965060 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 37 S Ellis St, Camilla, GA 31730-1812 | 2006-10-12 |
| Street Address |
608 DOGWOOD DR NE |
| City | PELHAM |
| State | GA |
| Zip Code | 31779-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689728 | Autry State Prison Pharmacy | Pharmacy | 3178 Mount Zion Church Rd, Pelham, GA 31779 | 2018-05-16 |
| 1851776181 | Thomas & Son Family & Child Resource Center, Inc | Community/Behavioral Health | 113 Mclaughlin Street, Nw, Pelham, GA 31779 | 2015-07-28 |
| 1811922115 | Hayden H Moye | Pharmacist | 162 E Railroad St Se, Pelham, GA 31779 | 2006-07-12 |
| 1326329566 | Mary Elaine Bailey | Nurse Practitioner | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2011-09-01 |
| 1053763961 | Sarah Brooks | Nurse Practitioner | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2016-07-05 |
| 1881960151 | Hospital Authority of Mitchell County | Clinic/Center | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2012-03-30 |
| 1902828205 | B. Bonita Richter | Dentist | 137 Hand Pl, Pelham, GA 31779-1236 | 2006-07-24 |
| 1194790626 | Cynthia Parker Drury | Family Medicine | 167 Hand Ave W, Pelham, GA 31779-1268 | 2006-02-20 |
| 1306046016 | Mitchell County Hospital | Clinic/Center | 167 Hand Ave W, Pelham, GA 31779-1268 | 2007-07-20 |
| 1356486229 | David B Drury, Md | Family Medicine | 167 Hand Ave W, Pelham, GA 31779-1268 | 2007-02-20 |
| Find all providers in zip 31779 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952544694 | Restore Therapy Services | Skilled Nursing Facility | 245 Cahaba Valley Pkwy Ste 200, Pelham, AL 35124-2217 | 2009-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281982 | Georgia Regional Health Services LLC | Skilled Nursing Facility | 3731 Lake Pass Ln, Suwanee, GA 30024-8422 | 2020-09-30 |
| 1124633268 | Lavender Mountain Senior Living Inc | Skilled Nursing Facility | 600 Eagle Lake Trl, Rome, GA 30165-2207 | 2020-09-15 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1205486859 | Magnolia Manor of Liberty County, Inc. | Skilled Nursing Facility | 625 N Coastal Hwy # 17, Midway, GA 31320-3433 | 2019-09-16 |
| 1497301170 | Prestige Health Services LLC | Skilled Nursing Facility | 1770 Indian Trail Lilburn Rd Ste 420, Norcross, GA 30093-2644 | 2019-08-17 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1689131724 | Favor Home Health Care Services, LLC | Skilled Nursing Facility | 51 Gallery Ct, Acworth, GA 30101-2709 | 2019-02-25 |
| 1104398866 | University Extended Care, Inc | Skilled Nursing Facility | 1005 Highway 88 N, Keysville, GA 30816 | 2018-12-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 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.