EFFINGHAM HOSPITAL, INC. (NPI# 1164651022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164651022 |
| Entity Type | Organization |
| Organization Name | EFFINGHAM HOSPITAL, INC. |
| Other Organization Name | EFFINGHAM FAMILY MEDICINE AT GUYTON |
| Practice Address |
3 Hidden Creek Dr Guyton GA 31312-4590 |
| Mailing Address |
459 Highway 119 South Attn.: Alia Allen/medical Staff Office Springfield GA 31329 |
| Practice Telephone | 9127728670 |
| Practice Fax Number | 9127541037 |
| Mailing Telephone | 9127540175 |
| Mailing Fax Number | 9127546395 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | MRS. FRANCINE BAKER-WITT (INTERIM CEO) |
| Authorized Official Telephone | 9127540142 |
| Authorized Official Credential | RN, MBA, CNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | GA | Ambulatory Health Care Facilities | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Effingham Family Medicine at Guyton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063849719 | Effingham Hospital, Inc. | Orthopaedic Surgery | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2013-09-26 |
| 1245867688 | Effingham Hospital, Inc. | Pharmacy | 459 Highway 119 S, Springfield, GA 31329-3021 | 2020-03-25 |
| 1669004966 | Effingham Hospital, Inc. | Internal Medicine | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2020-02-05 |
| 1962806257 | Effingham Hospital, Inc. | Internal Medicine | 800 Towne Park Dr Ste 100, Rincon, GA 31326-5160 | 2014-10-15 |
| 1245668417 | Effingham Hospital, Inc. | Preventive Medicine | 7306 Ga Highway 21 Ste 105, Port Wentworth, GA 31407-9275 | 2013-10-24 |
| 1083042352 | Effingham Hospital, Inc. | Urology | 110 Goshen Rd, Rincon, GA 31326-5545 | 2013-10-24 |
| 1477893857 | Effingham Hospital, Inc. | Pharmacy | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2013-02-22 |
| 1245577048 | Effingham Hospital, Inc. | Obstetrics & Gynecology | 1451 Highway 21 S Ste H, Springfield, GA 31329-5244 | 2013-01-14 |
| 1851696710 | Effingham Hospital, Inc. | Preventive Medicine | 110 Goshen Rd, Rincon, GA 31326-5545 | 2011-01-24 |
| 1750686382 | Effingham Hospital, Inc. | Family Medicine | 1451 Highway 21 S, Ste H, Springfield, GA 31329-5244 | 2011-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EFFINGHAM HOSPITAL, INC. | 459 Ga Highway 119 S, Springfield, GA 31329-3021 |
| Street Address |
3 HIDDEN CREEK DR |
| City | GUYTON |
| State | GA |
| Zip Code | 31312-4590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942382429 | Ricky Steven Garland | Physician Assistant | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2006-10-20 |
| 1801290242 | Kristie Moore | Nurse Practitioner | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2014-10-14 |
| 1225458193 | Bailey Elliott Alford | Pediatrics | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2014-04-18 |
| 1871936625 | Effingham Family Medicine At Guyton | Family Medicine | 3 Hidden Creek Dr, Guyton, GA 31312-4592 | 2013-04-11 |
| 1023242179 | Claude Levon Sanks IIi | Internal Medicine | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461415 | Sandra Vanorman | Student in an Organized Health Care Education/Training Program | 102 Whirlwind Way, Guyton, GA 31312 | 2020-03-08 |
| 1104916667 | Amy Johnson Jacobs | Pharmacist | #1 Hidden Creek Drive, Guyton, GA 31312 | 2006-10-13 |
| 1942327325 | Plush | Assisted Living Facility | 323 Brogdon Road, Guyton, GA 31312-0425 | 2007-03-23 |
| 1811391436 | Arthur Lee | Pharmacist | 100 Wakefield Dr, Guyton, GA 31312-3947 | 2014-10-09 |
| 1992353361 | Laura Gilman | Technician | 120 Taylor Dr, Guyton, GA 31312-4039 | 2019-08-29 |
| 1689944183 | Michele Lehtma Frost | Speech-Language Pathologist | 329 Flat Bush Dr, Guyton, GA 31312-4528 | 2011-12-31 |
| 1396802609 | H and A Pharmaceutical Services Inc | Durable Medical Equipment & Medical Supplies | 1 Hidden Creek Dr, Guyton, GA 31312-4590 | 2007-01-03 |
| 1659617587 | Positively Plush, LLC | Respite Care | 405 5th Ave, Guyton, GA 31312-4887 | 2012-12-21 |
| 1568525152 | Mary K Schaffer | Speech-Language Pathologist | 108 Warner Dr, Guyton, GA 31312-4905 | 2006-12-18 |
| 1720435944 | Courteney Leigh Rainey | Physical Therapist | 602 Berosa Ct, Guyton, GA 31312-4986 | 2016-05-17 |
| Find all providers in zip 31312 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| 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.