TY COBB HEALTHCARE SYSTEM (NPI# 1083711691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083711691 |
| Entity Type | Organization |
| Organization Name | TY COBB HEALTHCARE SYSTEM |
| Other Organization Name | COBB MEMORIAL HOSPITAL |
| Practice Address |
521 Franklin Springs St Royston GA 30662-3934 |
| Mailing Address |
521 Franklin Springs St Po Box 589 Royston GA 30662-3934 |
| Practice Telephone | 7062455071 |
| Practice Fax Number | 7062451411 |
| Mailing Telephone | 7062455071 |
| Mailing Fax Number | 7062451411 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | MISS KIMBERLY A MASSEY (CONTROLLER) |
| Authorized Official Telephone | 7062451290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
059-521 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 413823 | 05 | |
| GA | 00000437A | 05 | |
| GA | BCBS | 000115 | 01 |
| NC | 1100027 | 05 | |
| AETNA | 2505724 | 01 | |
| GA | CAHABA MEDICARE PART B | HOSP68 | 01 |
| MS | 07708770 | 05 | |
| GA | TRAILBLAZER | 110027B000000 | 01 |
| Other Name | Type Code |
|---|---|
| Cobb Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528175593 | Ty Cobb Healthcare System | Skilled Nursing Facility | 545 Cook Street, Royston, GA 30662-0589 | 2006-08-24 |
| 1205942109 | Ty Cobb Healthcare System | Skilled Nursing Facility | 2430 Paoli St, Comer, GA 30629-3470 | 2006-08-22 |
| 1710095054 | Ty Cobb Healthcare System | Medicare Defined Swing Bed Unit | 521 Franklin Springs St, Royston, GA 30662-3934 | 2006-08-28 |
| Street Address |
521 FRANKLIN SPRINGS ST |
| City | ROYSTON |
| State | GA |
| Zip Code | 30662-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023092624 | Ty Cobb Healthcare System Long Term Care Pharmacy | Pharmacy | 521 Franklin Springs St, Royston, GA 30662-3934 | 2005-12-06 |
| 1649416660 | Veralynn Anesthesia Associates of Georgia, LLC | Nurse Anesthetist, Certified Registered | 521 Franklin Springs St, Dept of Anesthesia, Royston, GA 30662-3934 | 2008-12-22 |
| 1316191075 | Veralynn Health Management, LLC | Nurse Anesthetist, Certified Registered | 521 Franklin Springs St, Dept of Anesthesia, Royston, GA 30662-3934 | 2008-11-07 |
| 1417137951 | Emily Carlton Strickland | Speech-Language Pathologist | 521 Franklin Springs St, Royston, GA 30662-3934 | 2007-11-13 |
| 1710095054 | Ty Cobb Healthcare System | Medicare Defined Swing Bed Unit | 521 Franklin Springs St, Royston, GA 30662-3934 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073053963 | Crystal Roach | Occupational Therapist | 874 Halley Rd., Royston, GA 30662 | 2017-02-27 |
| 1477965358 | Community Care Pharmacy of Royston | Pharmacy | 635 Cook Street, Royston, GA 30662 | 2014-05-27 |
| 1407919731 | Abby H Bedichek | Occupational Therapist | 613 Cook Street, Royston, GA 30662 | 2006-12-18 |
| 1215005053 | Julian Douglas Sharpton | Family Medicine | 891 Church Street, Royston, GA 30662 | 2006-12-01 |
| 1043306509 | Diane Veronica Lewis | Licensed Practical Nurse | 1025 Cromers Bridge Road, Royston, GA 30662 | 2006-10-04 |
| 1154351591 | Shalimar Sheree Crowe | Specialist/Technologist | 181 Spring St, Royston, GA 30662 | 2006-07-03 |
| 1497735328 | Laurie Martin-kiser | Nurse Practitioner | 819 Church Street, Royston, GA 30662 | 2006-01-18 |
| 1619034584 | Patricia Kieley Adkins | Psychologist | 613 Cook Street, Royston, GA 30662 | 2007-01-02 |
| 1487719688 | Robin Turner Vining | Speech-Language Pathologist | 613 Cook St, Royston, GA 30662 | 2006-12-27 |
| 1528175593 | Ty Cobb Healthcare System | Skilled Nursing Facility | 545 Cook Street, Royston, GA 30662-0589 | 2006-08-24 |
| Find all providers in zip 30662 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972969160 | Debra D Rathbun | General Acute Care Hospital | 192 Lobinger Ave, Fitzgerald, GA 31750-8181 | 2016-01-05 |
| 1326304486 | Ty Cobb Regional Medical Center LLC | General Acute Care Hospital | 367 Clear Creek Parkway, Lavonia, GA 30553 | 2012-04-03 |
| 1053400689 | Bacon Co. Health Services, Inc. | General Acute Care Hospital | 3406 Wildwood Ave., Patterson, GA 31557-5065 | 2006-10-12 |
| 1518051556 | Eugene Suarez Rodillo | General Acute Care Hospital | 111 South Webb Street, Hartwell, GA 30643 | 2006-10-03 |
| 1245248624 | Hospital Authority of Ben Hill | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-08-03 |
| 1700851649 | Crisp Regional Hospital Inc | General Acute Care Hospital | 902 7th St North, Cordele, GA 31010 | 2006-02-22 |
| 1558334334 | Mayo Clinic Health System In Waycross, Inc | General Acute Care Hospital | 1900 Tebeau Street, Waycross, GA 31501 | 2006-02-10 |
| 1588646251 | Wheeler County Hospital | General Acute Care Hospital | 111 N Third St, Glenwood, GA 30428-2301 | 2005-11-17 |
| 1952395097 | Southern Health Corp of Ellijay | General Acute Care Hospital | 1362 S Main St, 822 Industrial Blvd; 60 Old Highway 5 South, Ellijay, GA 30540-5410 | 2005-09-05 |
| 1588661672 | Americus & Sumter County Hospital Authority | General Acute Care Hospital | 100 Wheatley Dr, Americus, GA 31709-3788 | 2005-07-05 |
| Find all providers with the same taxonomy | ||||
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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.