EMANUEL COUNTY HOSPITAL AUTHORITY (NPI# 1003221243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003221243 |
| Entity Type | Organization |
| Organization Name | EMANUEL COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | HEADLEY GENERAL SURGERY & ENDOSCOPY |
| Practice Address |
120a Victory Dr Swainsboro GA 30401-3235 |
| Mailing Address |
Po Box 879 Swainsboro GA 30401-0879 |
| Practice Telephone | 4782373291 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | DEBORAH DRIGGERS (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4782891303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Emanuel Surgical Associates | Doing Business As Name - Organization |
| HEADLEY GENERAL SURGERY & ENDOSCOPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108084 | Emanuel County Hospital Authority | Clinic/Center | 117 Kite Rd Ste B, Swainsboro, GA 30401-3231 | 2019-01-15 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1083938716 | Emanuel County Hospital Authority | Clinic/Center | 125 Victory Dr, Swainsboro, GA 30401-3234 | 2010-03-24 |
| 1063649903 | Emanuel County Hospital Authority | Clinic/Center | 131 Victory Dr, Swainsboro, GA 30401-3234 | 2009-06-18 |
| 1588654388 | Emanuel County Hospital Authority | Clinic/Center | 601 Third St, Soperton, GA 30457 | 2005-10-24 |
| 1134119936 | Emanuel County Hospital Authority | Clinic/Center | 511 Gilliken St, Twin City, GA 30471 | 2005-10-24 |
| 1043798648 | Emanuel County Hospital Authority | Clinic/Center | 117 Kite Rd, Swainsboro, GA 30401 | 2018-08-06 |
| 1851755979 | Emanuel County Hospital Authority | Family Medicine | 305 Kite Rd, Swainsboro, GA 30401-5771 | 2016-04-06 |
| 1740671908 | Emanuel County Hospital Authority | Psychiatric Unit | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2015-02-10 |
| 1912319997 | Emanuel County Hospital Authority | Clinic/Center | 115 Gillikin St, Twin City, GA 30471-3989 | 2014-05-27 |
| Street Address |
120A VICTORY DR |
| City | SWAINSBORO |
| State | GA |
| Zip Code | 30401-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487759650 | Mark L Mudano | Orthopaedic Surgery | 120a Victory Dr, Swainsboro, GA 30401-3235 | 2006-09-13 |
| 1043764731 | Phillip Boatright Jr. | Physician Assistant | 120a Victory Dr, Swainsboro, GA 30401-3235 | 2016-08-10 |
| 1053556118 | Vidalia Urology Associates, LLC | Urology | 120a Victory Dr, Swainsboro, GA 30401-3235 | 2008-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114589595 | Mandi Marion Wright | Nurse Practitioner | 117 Kight Road, Swainsboro, GA 30401 | 2019-07-05 |
| 1043767544 | Kathy Flakes | Licensed Practical Nurse | 223 N Anderson Drive, Swainsboro, GA 30401 | 2016-09-01 |
| 1023326220 | Family Podiatry Center PC | Podiatrist | 125a Victory Dr, Swainsboro, GA 30401 | 2010-09-22 |
| 1548578123 | United Rehab Inc | Clinic/Center | 856 U S Highway 1 South, Swainsboro, GA 30401 | 2010-09-17 |
| 1386967305 | William Donald Wages Jr. | Physical Therapy Assistant | 114 Victory Drive, Swainsboro, GA 30401 | 2010-03-04 |
| 1487989885 | Jimmy H Maddox | Nurse Practitioner | 117 Kite Road, Swainsboro, GA 30401 | 2009-10-02 |
| 1649319997 | Swainsboro Healthcare PC | Family Medicine | 305 Kite Road, Swainsboro, GA 30401 | 2007-02-05 |
| 1922153543 | Joyce Dianne Spence | Registered Nurse | 223 Anderson Dr N, Swainsboro, GA 30401 | 2007-01-24 |
| 1942355565 | Lucille Sapp | Registered Nurse | 223 N. Anderson Drive, Swainsboro, GA 30401 | 2007-01-24 |
| 1366592388 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 1007 Highway 56 South, Swainsboro, GA 30401 | 2007-01-11 |
| Find all providers in zip 30401 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254818 | William Bradford Headley | Surgery | 120 Victory Dr # A, Swainsboro, GA 30401-3235 | 2005-06-13 |
| 1699029603 | Brad Headley Md Facs LLC | Surgery | 120 Victory Dr # A, Swainsboro, GA 30401-3235 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | SWAINSBORO |
| Zip Code | 30401 |
Please comment or provide details below to improve the information on EMANUEL COUNTY HOSPITAL AUTHORITY.
| 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.