HOSPITAL AUTHORITY OF MITCHELL COUNTY (NPI# 1700830247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700830247 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF MITCHELL COUNTY |
| Other Organization Name | MITCHELL COUNTY HOSPITAL |
| Practice Address |
90 E Stephens St Camilla GA 31730-1836 |
| Mailing Address |
920 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2293365284 |
| Practice Fax Number | 2293364682 |
| Mailing Telephone | 2292288800 |
| Mailing Fax Number | 2292288892 |
| Enumeration Date | 2006-05-20 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
101-120 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BC/BS GA | 000020 | 01 |
| GA | TRAILBLAZER | 111331A000000 | 01 |
| GA | 000001339A | 05 |
| Other Name | Type Code |
|---|---|
| Mitchell County Hospital | 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 |
| 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 |
| 1609965060 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 37 S Ellis St, Camilla, GA 31730-1812 | 2006-10-12 |
| Street Address |
90 E STEPHENS ST |
| City | CAMILLA |
| State | GA |
| Zip Code | 31730-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710478771 | Carly Mccook | Speech-Language Pathologist | 90 E Stephens St, Camilla, GA 31730-1836 | 2018-05-25 |
| 1811497209 | Caitlin Fletcher | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2018-02-13 |
| 1053810424 | Ashley Abt | Nurse Practitioner | 90 E Stephens St, Camilla, GA 31730-1836 | 2018-02-12 |
| 1174042972 | Ashley Nicole Maxwell | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2017-09-12 |
| 1760838395 | Southland Bainbridge Hospitalist Group, LLC | Hospitalist | 90 E Stephens St, Camilla, GA 31730-1836 | 2016-05-12 |
| 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 |
| 1902044589 | Heather Michele Griffin | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2009-02-04 |
| 1376781815 | Cheryl L Jordan | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2009-01-21 |
| Find all providers in the same location | ||||
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046425 | Rasheeda Brown | General Acute Care Hospital | 362 E.g. Miles Parkway, Hinesville, GA 31310-0919 | 2016-03-22 |
| 1073927117 | Polk Medical Center, Inc | General Acute Care Hospital | 2360 Rockmart Hwy, Cedartown, GA 30125-6029 | 2014-06-17 |
| 1174800114 | Emory University Hospital | General Acute Care Hospital | 1355 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2011-11-04 |
| 1013211564 | Grady Health System | General Acute Care Hospital | 180 Victoria Dr, Fayetteville, GA 30214-1163 | 2010-12-26 |
| 1417264292 | Angela Marie Barco | General Acute Care Hospital | 3486 Peach Orchard Rd Ste 200, Augusta, GA 30906 | 2010-09-01 |
| 1780880583 | Wheeler County Hospital | General Acute Care Hospital | 111 North 3rd Street, Glenwood, GA 30428 | 2007-06-27 |
| 1609078047 | Medical College of Georgia | General Acute Care Hospital | 1120 15th St # Baa-5407, Augusta, GA 30912-0004 | 2007-06-05 |
| 1982821971 | Carl Vison Va Medical Center | General Acute Care Hospital | 48 Blueberry Farm Road, Adrian, GA 31002 | 2007-04-19 |
| 1326191180 | Professional Resources Management of Rabun, LLC | General Acute Care Hospital | 162 Legacy Pt, Clayton, GA 30525-5354 | 2007-01-18 |
| 1184771586 | Lower Oconee Community Hospital Inc | General Acute Care Hospital | 111 N 3rd Street, P O Bx 398, Glenwood, GA 30428 | 2007-01-05 |
| 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.