HOSPITAL AUTHORITY OF LIBERTY COUNTY (NPI# 1013267202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013267202 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF LIBERTY COUNTY |
| Other Organization Name | LIBERTY PEDIATRICS |
| Practice Address |
455 S.main Street Ste 105 Hinesville GA 31313 |
| Mailing Address |
455 S Main Street Suite 105 Hinesville GA 31313-4354 |
| Practice Telephone | 9128760250 |
| Practice Fax Number | 9123692029 |
| Mailing Telephone | 9128760250 |
| Mailing Fax Number | 9123692029 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | MR. MICHAEL S HESTER (CEO) |
| Authorized Official Telephone | 9123699400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Liberty Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508356395 | Hospital Authority of Liberty County | Obstetrics & Gynecology | 455 S Main St Ste 202, Hinesville, GA 31313-4354 | 2018-05-16 |
| 1023443801 | Hospital Authority of Liberty County | Clinic/Center | 128 Coastal Manor Dr Se, Ludowici, GA 31316-2951 | 2013-09-11 |
| 1356636534 | Hospital Authority of Liberty County | Family Medicine | 455 S.main Street Ste 104, Hinesville, GA 31313 | 2011-06-15 |
| 1477875839 | Hospital Authority of Liberty County | Internal Medicine | 455 S Main Street Suite 102, Hinesville, GA 31313 | 2010-02-25 |
| 1265463004 | Hospital Authority of Liberty County | Skilled Nursing Facility | Hwy 84 East, Ludowici, GA 31316 | 2006-07-06 |
| 1326079260 | Hospital Authority of Liberty County | General Acute Care Hospital | 462 E G Miles Parkway, Hinesville, GA 31313-4000 | 2006-07-06 |
| 1063903011 | Hospital Authority of Liberty County | Clinic/Center | 462 Elma G Miles Pkwy, Hinesville, GA 31313-4000 | 2018-05-25 |
| 1093214041 | Hospital Authority of Liberty County | General Practice | 586 Islands Highway, Midway, GA 31320 | 2018-02-06 |
| 1972028660 | Hospital Authority of Liberty County | General Practice | 73 Coastal Manor Dr, Ludowici, GA 31316 | 2017-08-03 |
| 1740516129 | Hospital Authority of Liberty County | Surgery | 455 S Main St Ste 105, Hinesville, GA 31313-4354 | 2009-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOSPITAL AUTHORITY OF LIBERTY COUNTY | 462 Elma G Miles Pkwy, Hinesville, GA 31313-4000 |
| Street Address |
455 S.MAIN STREET STE 105 |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366769622 | Phillip O Ajayi | Pediatrics | 455 S Main St Ste 101, Hinesville, GA 31313-4354 | 2010-04-27 |
| 1952506438 | Julio E.pajaro, Md, PC | Pediatrics | 1763 Hwy 196 W, E.g. Miles Pkwy, Hinesville, GA 31313-8013 | 2007-06-15 |
| 1144388521 | Phillips Pediatrics PC | Pediatrics | 455 S Main Street, Ste 101, Hinesville, GA 31313-4354 | 2006-12-05 |
| 1164472478 | Ar Medical LLC | Pediatrics | 502 E General Stewart Way, Hinesville, GA 31313-2629 | 2006-05-10 |
| 1568438521 | Eric Lee Hall | Pediatrics | 512 S Main St Ste A, Hinesville, GA 31313-4344 | 2006-02-28 |
| 1013902741 | Nicole Stack Broerman | Pediatrics | 462 Elma G Miles Pkwy, Hinesville, GA 31313-4000 | 2005-09-19 |
| 1629513817 | Lisa S Elkin | Pediatrics | 455 S Main St Ste 105, Hinesville, GA 31313-4354 | 2016-12-27 |
| 1013272509 | Allied Health Systems | Pediatrics | 790 Frank Cochran Dr, Suite 111, Hinesville, GA 31313-3915 | 2012-07-10 |
| 1285860999 | Lakimberly Nicole Price | Pediatrics | 455 S Main St Ste 105, Hinesville, GA 31313-4354 | 2009-06-09 |
| 1225285182 | Tometricia Brown | Pediatrics | 455 S Main St, Suite 101, Hinesville, GA 31313-4353 | 2008-08-22 |
| Find all providers in HINESVILLE | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
Please comment or provide details below to improve the information on HOSPITAL AUTHORITY OF LIBERTY COUNTY.
| 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.