HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA (NPI# 1033160791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033160791 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA |
| Other Organization Name | GREENLEAF CENTER |
| Practice Address |
2209 Pineview Dr Valdosta GA 31602-7316 |
| Mailing Address |
Po Box 0070 Attn: Pfs Dept Valdosta GA 31603-0070 |
| Practice Telephone | 2292474357 |
| Practice Fax Number | 2292446194 |
| Mailing Telephone | 2292474357 |
| Mailing Fax Number | 2292446194 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-05-09 |
| Authorized Official Name | MR. GREG S HEMBREE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2292594160 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
92141 | GA | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
92141 | GA | Ambulatory Health Care Facilities |
| Y | 273R00000X | Psychiatric Unit | 92141 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00001724A | 05 | |
| GA | CAHABA | HOSP24 | 01 |
| Other Name | Type Code |
|---|---|
| Greenleaf Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629342274 | Hospital Authority of Valdosta and Lowndes County Georgia | Surgery | 2418 N Oak St, Suite F, Valdosta, GA 31602-2576 | 2012-02-29 |
| 1629346390 | Hospital Authority of Valdosta and Lowndes County Georgia | Hospitalist | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2011-12-08 |
| 1457648313 | Hospital Authority of Valdosta and Lowndes County Georgia | Emergency Medicine | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2011-06-29 |
| 1467404046 | Hospital Authority of Valdosta and Lowndes County Georgia | Clinic/Center | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2006-05-16 |
| 1306896253 | Hospital Authority of Valdosta and Lowndes County Georgia | Clinic/Center | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2006-05-11 |
| 1528049046 | Hospital Authority of Valdosta and Lowndes County Georgia | Pharmacy | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2005-11-10 |
| Street Address |
2209 PINEVIEW DR |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-7316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505765 | Southland Behavioral Health Services LLC | Family Medicine | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2020-04-01 |
| 1518590280 | Shalyn Janel Mcmichael | Recreation Therapist | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2020-02-20 |
| 1609230069 | Kenneth Lindsey Kiser | Nurse Practitioner | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2016-04-11 |
| 1083071898 | Julene Dorothy Smith | Nurse Practitioner | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2016-01-25 |
| 1538417753 | Greenleaf Center, LLC | Psychiatric Hospital | 2209 Pineview Dr, Valdosta, GA 31602 | 2012-08-20 |
| 1649542143 | Stephanie Lynn Nelson | Nurse Practitioner | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2012-01-31 |
| 1073762712 | Beacon Behavioral Healthcare, Inc. | Psychiatry & Neurology | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2008-09-18 |
| 1851547327 | Robert Juliusz Maydell | Psychiatry & Neurology | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2008-08-14 |
| 1841372984 | Carole W Nelson | Counselor | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA.
| 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.