HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA (NPI# 1629495569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629495569 |
| 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 | 2014-03-27 |
| 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 | 314000000X | Skilled Nursing 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 |
|---|---|---|---|---|
| 1194141549 | Hospital Authority of Valdosta and Lowndes County, Georgia | Nursing Facility/Intermediate Care Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
| 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 |
| 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 |
|---|---|---|---|---|
| 1194141549 | Hospital Authority of Valdosta and Lowndes County, Georgia | Nursing Facility/Intermediate Care Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1912465923 | Lakeland Oaks Nh LLC | Skilled Nursing Facility | 855 Carpenters Way, Lakeland, FL 33809 | 2019-03-08 |
| 1710490966 | Lakeland Snf Investors LLC | Skilled Nursing Facility | 800 E County Road 540a, Lakeland, FL 33813-4650 | 2017-11-09 |
| 1396147237 | Lamisha Williams | Skilled Nursing Facility | 744 Park Hill Ave, Lakeland, FL 33801-5533 | 2014-09-23 |
| 1043619471 | Lorraine Stocki | Skilled Nursing Facility | 1350 Sleepy Hill Rd Fl 33810, Lakeland, FL 33810-3800 | 2014-08-21 |
| 1508105958 | Stella Goff | Skilled Nursing Facility | 4435 Galloway Ln, Lakeland, FL 33810-6705 | 2013-02-05 |
| 1770689887 | Carpenters Home Estates Inc | Skilled Nursing Facility | 1001 Carpenters Way, Lakeland, FL 33809-3956 | 2006-09-15 |
| 1366483133 | Op Lake Parker, Inc. | Skilled Nursing Facility | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2006-06-10 |
| 1518907039 | Tandem Health Care of Lakeland, Inc. | Skilled Nursing Facility | 5245 N Socrum Loop Rd, Lakeland, FL 33809-4253 | 2006-06-07 |
| 1083660427 | Lakeland Health Care Associates LLC | Skilled Nursing Facility | 1010 Carpenters Way, Lakeland, FL 33809-3926 | 2006-05-26 |
| 1841246329 | Oakbridge Health Care Associates LLC | Skilled Nursing Facility | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2006-05-26 |
| Find all providers in LAKELAND | ||||
Please comment or provide details below to improve the information on HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA.
| 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.