JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. (NPI# 1730123431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730123431 |
| Entity Type | Organization |
| Organization Name | JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. |
| Other Organization Name | ARCHBOLD NORTHSIDE |
| Practice Address |
401 Old Albany Rd Thomasville GA 31792-4014 |
| Mailing Address |
920 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2292288100 |
| Mailing Telephone | 2292288800 |
| Mailing Fax Number | 2292288892 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | MR. GREGORY S. HEMBREE (CFO) |
| Authorized Official Telephone | 2292282880 |
| Is Organization Subpart | Y |
| Parent Organization Name | JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 136-91 | GA | Hospital Units |
| Other Name | Type Code |
|---|---|
| Archbold Northside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972635233 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1323 E Shotwell St, Bainbridge, GA 39819-4252 | 2007-03-12 |
| 1932296811 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1103 North Main Street, Pavo, GA 31778 | 2006-10-10 |
| 1114014669 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1034 South Pine Street, Coolidge, GA 31738 | 2006-10-06 |
| 1851486005 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 440 Smith Ave, Thomasville, GA 31792-5535 | 2006-10-04 |
| 1356372304 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 101 E Davis St, Quitman, GA 31643-1407 | 2006-07-06 |
| 1962433912 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1182 5th St Se, Cairo, GA 39828-3141 | 2006-07-06 |
| 1609807650 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 700 Gordon Ave, Bainbridge, GA 39819-5713 | 2006-07-06 |
| 1629000328 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 201 Old Albany Rd, Thomasville, GA 31792-4010 | 2006-07-06 |
| 1205867256 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 251 Us Highway 19 N, Camilla, GA 31730-1410 | 2006-07-06 |
| 1508806142 | John D. Archbold Memorial Hospital, Inc. | Skilled Nursing Facility | 10629 Us Highway 19 S, Thomasville, GA 31792-1127 | 2006-06-08 |
| Street Address |
401 OLD ALBANY RD |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-4014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497111207 | Michael Barrow | Nurse Practitioner | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2016-01-08 |
| 1467632851 | James Darin Drury | Psychiatry & Neurology | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2007-11-14 |
| 1730398496 | Eugene Yo-jen Sun | Psychiatry & Neurology | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2007-05-21 |
| 1558389940 | James Arthur Thompson | Nurse Practitioner | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-07-17 |
| 1942233911 | Henry Alamzan Eugenio | Psychiatry & Neurology | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-07-10 |
| 1639102601 | Armin Fritz Friedli | Psychiatry & Neurology | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-07-10 |
| 1730112723 | Philip James Dubose Jr. | Psychologist | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-07-10 |
| 1538192539 | Sandra Wauthena Haymon | Psychologist | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| 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 |
|---|---|---|---|---|
| 1710938949 | Community General Health Partners, Inc. | Psychiatric Unit | 207 Old Lexington Rd, Thomasville, NC 27360-3428 | 2006-05-12 |
| 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 |
| 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 |
| 1861926438 | Evans Memorial Hospital, Inc. | Psychiatric Unit | 200 N River St, Claxton, GA 30417-1659 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
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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.