GOOD SAMARITAN HOSPITAL, INC. (NPI# 1013116060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013116060 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL, INC. |
| Other Organization Name | ST. MARY'S GOOD SAMARITAN HOSPITAL |
| Practice Address |
5401 Lake Oconee Pkwy Greensboro GA 30642-4232 |
| Practice Telephone | 7064537331 |
| Practice Fax Number | 7064532696 |
| Mailing Telephone | 7063893954 |
| Mailing Fax Number | 7063893951 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | MR. D. MONTEZ CARTER (CEO) |
| Authorized Official Telephone | 7063893930 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOOD SAMARITAN HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 066-638 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | SWING | 000001328S | 05 |
| Other Name | Type Code |
|---|---|
| St. Mary's Good Samaritan Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346209137 | Good Samaritan Hospital, Inc. | Medicare Defined Swing Bed Unit | 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 2006-03-21 |
| Street Address |
5401 LAKE OCONEE PKWY |
| City | GREENSBORO |
| State | GA |
| Zip Code | 30642-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346209137 | Good Samaritan Hospital, Inc. | Medicare Defined Swing Bed Unit | 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 2006-03-21 |
| 1538791579 | Athens Clarke Medical Enterprises LLC | Emergency Medicine | 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 2020-02-07 |
| 1396164141 | Kristina Collins | Emergency Medicine | 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
| 1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
| 1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
| 1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
| 1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
| 1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
| 1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
| 1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
| 1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
| 1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
| Find all providers in zip 30642 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881652212 | Pacer Health Corporation of Ga | Medicare Defined Swing Bed Unit | 1201 Siloam Rd, Greensboro, GA 30642-2811 | 2006-05-03 |
| 1346209137 | Good Samaritan Hospital, Inc. | Medicare Defined Swing Bed Unit | 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 2006-03-21 |
| 1699005157 | Hale County Hospital | Medicare Defined Swing Bed Unit | 508 Greene St, Greensboro, AL 36744-2316 | 2010-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437536372 | University Mcduffie County Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 2460 Washington Road Ne, Thomson, GA 30824-2199 | 2015-04-29 |
| 1588093637 | Premier Healthcare Investments | Medicare Defined Swing Bed Unit | 509 Sumter, Montezuma, GA 31063 | 2013-11-08 |
| 1487817169 | Hosptial Authority of Liberty County | Medicare Defined Swing Bed Unit | 462 Elma G Miles Parkway, Hinesville, GA 31313-4000 | 2008-07-03 |
| 1023287927 | Union County Hospital Authority | Medicare Defined Swing Bed Unit | 35 Hospital Road, Blairsville, GA 30512 | 2008-02-25 |
| 1467663336 | Healthspan LLP | Medicare Defined Swing Bed Unit | 351 Liberty St, Waynesboro, GA 30830-9686 | 2007-05-24 |
| 1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
| 1548315898 | Tift Regional Health System, Inc | Medicare Defined Swing Bed Unit | 260 Mj Taylor Rd, Adel, GA 31620-3485 | 2007-01-25 |
| 1063578862 | Taylor Telfair Regional Hospital, Inc | Medicare Defined Swing Bed Unit | Route # 1 Highway 341 South, Mcrae, GA 31055-0150 | 2006-12-28 |
| 1710099098 | Charlton Memorial Hospital | Medicare Defined Swing Bed Unit | 2449 Third St, Folkston, GA 31537-8919 | 2006-08-31 |
| 1063491017 | Hospital Authority of Randolph County | Medicare Defined Swing Bed Unit | 109 Randolph St, Cuthbert, GA 39840-1338 | 2006-01-10 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 30642 |
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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.