THE MEDICAL CENTER OF PEACH COUNTY, INC (NPI# 1477677698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477677698 |
| Entity Type | Organization |
| Organization Name | THE MEDICAL CENTER OF PEACH COUNTY, INC |
| Other Organization Name | THE MEDICAL CENTER OF PEACH COUNTY |
| Practice Address |
1960 Hwy 247 Connector Byron GA 31008-5663 |
| Practice Telephone | 4786542000 |
| Practice Fax Number | 4786542001 |
| Mailing Telephone | 4786542000 |
| Mailing Fax Number | 4786542001 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | LISA URBISTONDO (CFO) |
| Authorized Official Telephone | 4788254446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 11Z310 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00001449S | 05 |
| Other Name | Type Code |
|---|---|
| The Medical Center of Peach County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923406 | The Medical Center of Peach County, Inc | General Acute Care Hospital | 1960 Hwy 247 Connector, Byron, GA 31008-5663 | 2005-06-22 |
| 1275775314 | The Medical Center of Peach County, Inc | Internal Medicine | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2009-04-06 |
| Street Address |
1960 HWY 247 CONNECTOR |
| City | BYRON |
| State | GA |
| Zip Code | 31008-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923406 | The Medical Center of Peach County, Inc | General Acute Care Hospital | 1960 Hwy 247 Connector, Byron, GA 31008-5663 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1265997761 | Caroline Layfield | Specialist/Technologist | 355 Joe Barnes Rd., Byron, GA 31008 | 2019-02-08 |
| 1003346909 | Tara Leeann Butts | Nurse Practitioner | 1960 Highway 247 Conn, Byron, GA 31008 | 2017-06-14 |
| 1114396769 | Physical Medicine Injury Center, LLC | Chiropractor | 218 Highway 49 N, Suite C, Byron, GA 31008 | 2015-09-24 |
| 1215313044 | Georgia Dental Professionals, PC | Dentist | 6005 Watson Blvd Suite 200, Byron, GA 31008 | 2015-08-04 |
| 1366844367 | Middle Georgia Family Rehab | Health Maintenance Organization | 100 Hamilton Pointe Dr., Suite 115 & 120, Byron, GA 31008 | 2014-09-22 |
| 1417377458 | Caring Hearts Companions & Caregivers | In Home Supportive Care | 212 Ga Highway 49 North, Ste 1400, Byron, GA 31008 | 2014-04-17 |
| 1245672724 | Middle Georgia Family Rehab | Case Management | 100 Hamilton Pointe Drive, 115, Byron, GA 31008 | 2013-07-24 |
| 1356783245 | Clarence Hicks | Case Management | 100 Hamilton Pointe Dr, Suite 115 & 120, Byron, GA 31008 | 2013-07-22 |
| 1083859292 | Marylorraine Alcott Spruill | Behavioral Analyst | 693 Cochran Dr, Byron, GA 31008 | 2008-12-03 |
| Find all providers in zip 31008 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437536372 | University Mcduffie County Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 2460 Washington Road Ne, Thomson, GA 30824-2199 | 2015-04-29 |
| 1588093637 | Premier Healthcare Investments | Medicare Defined Swing Bed Unit | 509 Sumter, Montezuma, GA 31063 | 2013-11-08 |
| 1487817169 | Hosptial Authority of Liberty County | Medicare Defined Swing Bed Unit | 462 Elma G Miles Parkway, Hinesville, GA 31313-4000 | 2008-07-03 |
| 1023287927 | Union County Hospital Authority | Medicare Defined Swing Bed Unit | 35 Hospital Road, Blairsville, GA 30512 | 2008-02-25 |
| 1467663336 | Healthspan LLP | Medicare Defined Swing Bed Unit | 351 Liberty St, Waynesboro, GA 30830-9686 | 2007-05-24 |
| 1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
| 1548315898 | Tift Regional Health System, Inc | Medicare Defined Swing Bed Unit | 260 Mj Taylor Rd, Adel, GA 31620-3485 | 2007-01-25 |
| 1063578862 | Taylor Telfair Regional Hospital, Inc | Medicare Defined Swing Bed Unit | Route # 1 Highway 341 South, Mcrae, GA 31055-0150 | 2006-12-28 |
| 1710099098 | Charlton Memorial Hospital | Medicare Defined Swing Bed Unit | 2449 Third St, Folkston, GA 31537-8919 | 2006-08-31 |
| 1881652212 | Pacer Health Corporation of Ga | Medicare Defined Swing Bed Unit | 1201 Siloam Rd, Greensboro, GA 30642-2811 | 2006-05-03 |
| 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.