HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI (NPI# 1053388256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053388256 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI |
| Other Organization Name | MEMORIAL HOSPITAL AND MANOR |
| Practice Address |
1500 E Shotwell St Bainbridge GA 39819-4256 |
| Practice Telephone | 2292463500 |
| Practice Fax Number | 2292468142 |
| Mailing Telephone | 2292463500 |
| Mailing Fax Number | 2292468142 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | KAREN FAIRCLOTH (CFO) |
| Authorized Official Telephone | 2292468211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units | ||
| N | 282N00000X | General Acute Care Hospital | 43-112 | GA | Hospitals |
| N | 314000000X | Skilled Nursing Facility | 1-043-500 | GA | Nursing & Custodial Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHIELD | 000307 | 01 |
| GA | 00001262T | 05 | |
| GA | 00001262S | 05 | |
| GA | 00001262A | 05 | |
| GA | 00141919A | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Hospital and Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003334236 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 603 Wheat Ave Ste 650, Bainbridge, GA 39819-4380 | 2017-09-08 |
| 1629596853 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 603 Wheat Ave Ste 450, Bainbridge, GA 39819-4365 | 2017-09-08 |
| 1093233223 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1504 E Evans St, Bainbridge, GA 39819-4364 | 2017-09-08 |
| 1548788771 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1501 Miluli Ave, Bainbridge, GA 39819-5700 | 2017-09-08 |
| 1649798869 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2017-09-08 |
| 1821516055 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1502 E Evans St, Bainbridge, GA 39819-4364 | 2017-09-08 |
| Street Address |
1500 E SHOTWELL ST |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39819-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623399 | Ellen King | Pharmacist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2005-07-19 |
| 1518430552 | Paula Adams | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2019-01-02 |
| 1851884068 | Zacharey Alan Powell | Family Medicine | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2018-06-12 |
| 1992224265 | Decatur Emergency Physicians LLC | Emergency Medicine | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2017-09-18 |
| 1720515075 | Keller Williams Galpin | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2017-05-17 |
| 1356735336 | Southland Bainbridge Hospitalist Group, LLC | Hospitalist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2015-03-27 |
| 1770981086 | Katherine T Kelley | Nurse Anesthetist, Certified Registered | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2014-12-18 |
| 1073935243 | Ginger Spence | Pharmacist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2014-01-07 |
| 1144569484 | Gregory Daryl Hall | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2013-02-06 |
| 1275806085 | Sumalee Watson | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2012-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
| 1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
| 1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
| 1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
| 1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
| 1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
| 1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
| 1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
| Find all providers in zip 39819 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003334236 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 603 Wheat Ave Ste 650, Bainbridge, GA 39819-4380 | 2017-09-08 |
| 1972635233 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1323 E Shotwell St, Bainbridge, GA 39819-4252 | 2007-03-12 |
| 1629596853 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 603 Wheat Ave Ste 450, Bainbridge, GA 39819-4365 | 2017-09-08 |
| 1093233223 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1504 E Evans St, Bainbridge, GA 39819-4364 | 2017-09-08 |
| 1548788771 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1501 Miluli Ave, Bainbridge, GA 39819-5700 | 2017-09-08 |
| 1649798869 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2017-09-08 |
| 1821516055 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1502 E Evans St, Bainbridge, GA 39819-4364 | 2017-09-08 |
| 1972635225 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 700 Gordon Ave, Bainbridge, GA 39819-5713 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768296 | Ga Diagnostic Providers | Clinic/Center | 5400 Riverside Dr Ste 202, Macon, GA 31210-0818 | 2020-10-22 |
| 1427656156 | Aes International, LLC | Clinic/Center | 6380 Bells Ferry Rd Ste 101, Acworth, GA 30102-5435 | 2020-10-14 |
| 1861000598 | Apple Educational Consulting, Inc. | Clinic/Center | 6225 Atlanta Hwy Ste 110, Alpharetta, GA 30004-8799 | 2020-07-20 |
| 1285242024 | Vernu 2 Inc | Clinic/Center | 501 S Main St Ste 201, Alpharetta, GA 30009-1975 | 2020-07-17 |
| 1598373755 | Pediatric Developmental Services | Clinic/Center | 2250 N Druid Hills Rd Ne Ste 265, Atlanta, GA 30329-3141 | 2020-07-14 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1366068728 | Wood Health LLC | Clinic/Center | 310 Gold Creek Trl Ste 100, Woodstock, GA 30188-5436 | 2020-06-22 |
| 1790307924 | Cryogen Plus LLC | Clinic/Center | 1039 Grant St Se Bldg A, Atlanta, GA 30315-2014 | 2020-05-11 |
| 1174154496 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2305 Abutment Rd, Dalton, GA 30721-4881 | 2020-01-27 |
| 1447881768 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2225 S Hamilton St, Dalton, GA 30721-4975 | 2020-01-27 |
| Find all providers with the same taxonomy | ||||
| City | BAINBRIDGE |
| Zip Code | 39819 |
Please comment or provide details below to improve the information on HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI.
| 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.