HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI (NPI# 1649798869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649798869 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI |
| Other Organization Name | AMELIA MEDICAL PLAZA |
| Practice Address |
505 Amelia Ave Bainbridge GA 39819-4355 |
| Mailing Address |
1500 E Shotwell St Bainbridge GA 39819-4256 |
| Practice Telephone | 2292436900 |
| Practice Fax Number | 2292436919 |
| Mailing Telephone | 2292431700 |
| Mailing Fax Number | 2292469322 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Authorized Official Name | KAREN FAIRCLOTH (CFO) |
| Authorized Official Telephone | 2292468211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Amelia Medical Plaza | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003334236 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 603 Wheat Ave Ste 650, Bainbridge, GA 39819-4380 | 2017-09-08 |
| 1629596853 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 603 Wheat Ave Ste 450, Bainbridge, GA 39819-4365 | 2017-09-08 |
| 1093233223 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1504 E Evans St, Bainbridge, GA 39819-4364 | 2017-09-08 |
| 1548788771 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1501 Miluli Ave, Bainbridge, GA 39819-5700 | 2017-09-08 |
| 1821516055 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1502 E Evans St, Bainbridge, GA 39819-4364 | 2017-09-08 |
| 1053388256 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Medicare Defined Swing Bed Unit | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2006-03-07 |
| Street Address |
505 AMELIA AVE |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39819-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831189984 | Gloria Browne | Family Medicine | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2005-10-28 |
| 1376029066 | Breanna Lynn Darley | Registered Nurse | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2018-07-16 |
| 1144742735 | Wesley Kyle Kelley | Nurse Practitioner | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2017-07-14 |
| 1013280353 | George Joseph Myers Iv | Surgery | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2012-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
| 1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
| 1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
| 1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
| 1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
| 1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
| 1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
| 1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
| Find all providers in zip 39819 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003334236 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 603 Wheat Ave Ste 650, Bainbridge, GA 39819-4380 | 2017-09-08 |
| 1972635233 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1323 E Shotwell St, Bainbridge, GA 39819-4252 | 2007-03-12 |
| 1629596853 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 603 Wheat Ave Ste 450, Bainbridge, GA 39819-4365 | 2017-09-08 |
| 1093233223 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1504 E Evans St, Bainbridge, GA 39819-4364 | 2017-09-08 |
| 1548788771 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1501 Miluli Ave, Bainbridge, GA 39819-5700 | 2017-09-08 |
| 1821516055 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1502 E Evans St, Bainbridge, GA 39819-4364 | 2017-09-08 |
| 1972635225 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 700 Gordon Ave, Bainbridge, GA 39819-5713 | 2007-03-12 |
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| Find all providers with the same taxonomy | ||||
| City | BAINBRIDGE |
| Zip Code | 39819 |
Please comment or provide details below to improve the information on HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI.
| 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.