THE MEDICAL CENTER OF PEACH COUNTY, INC (NPI# 1114923406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114923406 |
| Entity Type | Organization |
| Organization Name | THE MEDICAL CENTER OF PEACH COUNTY, INC |
| Other Organization Name | THE MEDICAL CENTER OF PEACH COUNTY |
| Practice Address |
1960 Hwy 247 Connector Byron GA 31008-5663 |
| Practice Telephone | 4786542000 |
| Practice Fax Number | 4786542001 |
| Mailing Telephone | 4786542000 |
| Mailing Fax Number | 4786542001 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | MS. LISA URBISTONDO (CFO) |
| Authorized Official Telephone | 4786542005 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
111-136 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00001449A | 05 |
| Other Name | Type Code |
|---|---|
| The Medical Center of Peach County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275775314 | The Medical Center of Peach County, Inc | Internal Medicine | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2009-04-06 |
| 1477677698 | The Medical Center of Peach County, Inc | Medicare Defined Swing Bed Unit | 1960 Hwy 247 Connector, Byron, GA 31008-5663 | 2007-03-16 |
| Street Address |
1960 HWY 247 CONNECTOR |
| City | BYRON |
| State | GA |
| Zip Code | 31008-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477677698 | The Medical Center of Peach County, Inc | Medicare Defined Swing Bed Unit | 1960 Hwy 247 Connector, Byron, GA 31008-5663 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1265997761 | Caroline Layfield | Specialist/Technologist | 355 Joe Barnes Rd., Byron, GA 31008 | 2019-02-08 |
| 1003346909 | Tara Leeann Butts | Nurse Practitioner | 1960 Highway 247 Conn, Byron, GA 31008 | 2017-06-14 |
| 1114396769 | Physical Medicine Injury Center, LLC | Chiropractor | 218 Highway 49 N, Suite C, Byron, GA 31008 | 2015-09-24 |
| 1215313044 | Georgia Dental Professionals, PC | Dentist | 6005 Watson Blvd Suite 200, Byron, GA 31008 | 2015-08-04 |
| 1366844367 | Middle Georgia Family Rehab | Health Maintenance Organization | 100 Hamilton Pointe Dr., Suite 115 & 120, Byron, GA 31008 | 2014-09-22 |
| 1417377458 | Caring Hearts Companions & Caregivers | In Home Supportive Care | 212 Ga Highway 49 North, Ste 1400, Byron, GA 31008 | 2014-04-17 |
| 1245672724 | Middle Georgia Family Rehab | Case Management | 100 Hamilton Pointe Drive, 115, Byron, GA 31008 | 2013-07-24 |
| 1356783245 | Clarence Hicks | Case Management | 100 Hamilton Pointe Dr, Suite 115 & 120, Byron, GA 31008 | 2013-07-22 |
| 1083859292 | Marylorraine Alcott Spruill | Behavioral Analyst | 693 Cochran Dr, Byron, GA 31008 | 2008-12-03 |
| Find all providers in zip 31008 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046425 | Rasheeda Brown | General Acute Care Hospital | 362 E.g. Miles Parkway, Hinesville, GA 31310-0919 | 2016-03-22 |
| 1073927117 | Polk Medical Center, Inc | General Acute Care Hospital | 2360 Rockmart Hwy, Cedartown, GA 30125-6029 | 2014-06-17 |
| 1174800114 | Emory University Hospital | General Acute Care Hospital | 1355 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2011-11-04 |
| 1013211564 | Grady Health System | General Acute Care Hospital | 180 Victoria Dr, Fayetteville, GA 30214-1163 | 2010-12-26 |
| 1417264292 | Angela Marie Barco | General Acute Care Hospital | 3486 Peach Orchard Rd Ste 200, Augusta, GA 30906 | 2010-09-01 |
| 1780880583 | Wheeler County Hospital | General Acute Care Hospital | 111 North 3rd Street, Glenwood, GA 30428 | 2007-06-27 |
| 1609078047 | Medical College of Georgia | General Acute Care Hospital | 1120 15th St # Baa-5407, Augusta, GA 30912-0004 | 2007-06-05 |
| 1982821971 | Carl Vison Va Medical Center | General Acute Care Hospital | 48 Blueberry Farm Road, Adrian, GA 31002 | 2007-04-19 |
| 1326191180 | Professional Resources Management of Rabun, LLC | General Acute Care Hospital | 162 Legacy Pt, Clayton, GA 30525-5354 | 2007-01-18 |
| 1184771586 | Lower Oconee Community Hospital Inc | General Acute Care Hospital | 111 N 3rd Street, P O Bx 398, Glenwood, GA 30428 | 2007-01-05 |
| 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.