HOSPITAL AUTHORITY OF MITCHELL COUNTY (NPI# 1609965060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609965060 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF MITCHELL COUNTY |
| Other Organization Name | MITCHELL COUNTY NURSING HOMES |
| Practice Address |
37 S Ellis St Camilla GA 31730-1812 |
| Mailing Address |
920 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2293368377 |
| Mailing Telephone | 2292288800 |
| Mailing Fax Number | 2292288892 |
| Enumeration Date | 2006-10-12 |
| 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 |
| Other Name | Type Code |
|---|---|
| Mitchell County Nursing Homes | 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 |
| 1295820660 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 608 Dogwood Dr Ne, Pelham, GA 31779-1132 | 2006-10-03 |
| 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 |
| Street Address |
37 S ELLIS ST |
| City | CAMILLA |
| State | GA |
| Zip Code | 31730-1812 |
| 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 |
| 1497214654 | Olivia Ann Simpson | Registered Nurse | 37 S Ellis St, Camilla, GA 31730 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700310059 | Phoebe Primary Care of Camilla | Clinic/Center | 725 Us Highway 19 S, Camilla, GA 31730 | 2017-04-13 |
| 1134661028 | Montreal Biggins Sr. | Counselor | 198 South Mcarthur Drive, Camilla, GA 31730 | 2016-11-09 |
| 1447639307 | Ledora Inman | Counselor | 198 S. Mac Arthur Drive, Camila, GA 31730 | 2015-05-26 |
| 1336533652 | Southern Therapeutic Massage Studio LLC | Massage Therapist | 88 W. Broad St, Camilla, GA 31730 | 2015-03-25 |
| 1013306604 | Jamekah Brooks | Counselor | 198 S Macarthur Drive, Camilla, GA 31730 | 2015-01-20 |
| 1063811651 | Develle Miller | Counselor | 198 S. Macarthur, Camilla, GA 31730 | 2014-08-19 |
| 1679980247 | Amanda Bryant | Counselor | 198 S. Macarthur Dr., Camilla, GA 31730 | 2014-07-16 |
| 1578993945 | Ted Hall | Counselor | 218 S. Mcarthur Drive, Camilla, GA 31730 | 2013-11-20 |
| 1700216280 | Michael D Fowler I | Case Management | 198 S. Macarthur Drive, Camilla, GA 31730 | 2013-11-19 |
| 1750644753 | Sally Niazi | Pharmacist | 266 E Broad Street, Camilla, GA 31730 | 2012-06-25 |
| Find all providers in zip 31730 | ||||
| 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 |
|---|---|---|---|---|
| 1003903022 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 37 S Ellis St, Camilla, GA 31730-1812 | 2006-10-10 |
| 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.