HOSPITAL AUTHORITY OF BEN HILL (NPI# 1659806297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659806297 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF BEN HILL |
| Other Organization Name | DORMINY MEDICAL CENTER |
| Practice Address |
200 Perry House Rd Fitzgerald GA 31750-8857 |
| Practice Telephone | 2294247100 |
| Practice Fax Number | 2294247281 |
| Mailing Telephone | 2294247100 |
| Mailing Fax Number | 2294247281 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | MRS. PAIGE P WYNN (CFO) |
| Authorized Official Telephone | 2294247100 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL AUTHORITY OF BEN HILL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| DORMINY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248624 | Hospital Authority of Ben Hill | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-08-03 |
| 1023190931 | Hospital Authority of Ben Hill | Hospice Care, Community Based | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-10-19 |
| 1720173917 | Hospital Authority of Ben Hill | Medicare Defined Swing Bed Unit | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-10-04 |
| 1124038294 | Hospital Authority of Ben Hill | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-08-09 |
| Street Address |
200 PERRY HOUSE RD |
| City | FITZGERALD |
| State | GA |
| Zip Code | 31750-8857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248624 | Hospital Authority of Ben Hill | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-08-03 |
| 1790329597 | James Benjamin Shiflett Jr. | Physical Therapist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2019-11-05 |
| 1912497314 | Emily Burch Howell | Speech-Language Pathologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2018-05-11 |
| 1053837617 | Tonya Lee Register | Nurse Practitioner | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2017-08-16 |
| 1255784955 | Kayla Phillips | Registered Nurse | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2016-07-18 |
| 1356703391 | Samantha Leyse | Speech-Language Pathologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2016-03-28 |
| 1124430020 | Dmc Physician Group LLC | Psychologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2014-05-27 |
| 1164790622 | Brittney Crumley Tomberlin | Speech-Language Pathologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2011-12-12 |
| 1700164274 | Phoebe Dorminy Medical Center, Inc. | Medicare Defined Swing Bed Unit | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2011-08-01 |
| 1891083085 | Phoebe Dorminy Medical Center, Inc. | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2011-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1730604943 | Karen Denise Charles | Rehabilitation Counselor | 410 South Sherman Street, Fitzgerald, GA 31750 | 2017-08-08 |
| 1457898249 | Walter Stone | Nurse Practitioner | 116 Norman Dorminy Dr, Ste 12, Dmc Physician Group LLC, Fitzgerald, GA 31750 | 2017-01-31 |
| 1013315605 | Tift County Hospital Authority | Family Medicine | 246 Ben Hill Drive, Fitzgerald, GA 31750 | 2014-12-12 |
| 1881940211 | We Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 608 N Sherman St, Fitzgerald, GA 31750 | 2012-08-03 |
| 1922365501 | Shayla Curtis | Family Medicine | 613 S Grant St, Fitzgerald, GA 31750 | 2012-04-19 |
| 1134380520 | Winston C Ugbajah | Family Medicine | 116 Benjamin Hill Drive, Suite 12, Fitzgerald, GA 31750 | 2008-06-19 |
| 1306966791 | Larry E Forth O D P C | Optometrist | 708 S Grant St, Suite #18, Fitzgerald, GA 31750 | 2007-03-30 |
| 1740370691 | Thomas R Mann | Internal Medicine | 118 Norman Dorminy Drive, Fitzgerald, GA 31750 | 2006-10-13 |
| 1407865389 | Jude Ogho Okugbeni | Family Medicine | 407 West Pine, Fitzgerald, GA 31750 | 2006-08-07 |
| Find all providers in zip 31750 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922230648 | Peachstate Psychiatric Services, Inc. | Psychiatric Unit | 1720 Peachtree St Nw Ste 640, Atlanta, GA 30309-2450 | 2009-08-13 |
| 1982634572 | Gwinnett Hospital System, Inc. | Psychiatric Unit | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2006-07-03 |
| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| 1023057775 | Floyd Healthcare Management Inc | Psychiatric Unit | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2006-06-06 |
| 1760436810 | Coliseum Medical Center, LLC | Psychiatric Unit | 340 Hospital Drive, Macon, GA 31217 | 2006-05-22 |
| 1902453111 | Sedzer Health LLC | Psychiatric Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-08-22 |
| 1578026431 | South Atlanta Psychiatry LLC | Psychiatric Unit | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2019-04-08 |
| 1518440254 | Prime Healthcare Foundation - Southern Regional, LLC | Psychiatric Unit | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-09-10 |
| 1831602903 | Savannah Health Services, LLC | Psychiatric Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-13 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
| Find all providers with the same taxonomy | ||||
| City | FITZGERALD |
| Zip Code | 31750 |
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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.