WEST GEORGIA MEDICAL CENTER, INC. (NPI# 1467685784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467685784 |
| Entity Type | Organization |
| Organization Name | WEST GEORGIA MEDICAL CENTER, INC. |
| Other Organization Name | TWIN FOUNTAINS HOME |
| Practice Address |
1400 Hogansville Rd Lagrange GA 30241-1422 |
| Mailing Address |
1800 Parkway Pl Se Ste 500 Marietta GA 30067-8237 |
| Practice Telephone | 7068820121 |
| Practice Fax Number | 7068820123 |
| Mailing Telephone | 4709564981 |
| Mailing Fax Number | 7709998237 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | MR. ANTHONY J BUDZINSKI (EVP) |
| Authorized Official Telephone | 4706440012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00142843A | 05 |
| Other Name | Type Code |
|---|---|
| Twin Fountains Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194958421 | West Georgia Medical Center, Inc. | Clinic/Center | 140 Glenn Bass Rd, Lagrange, GA 30240-5809 | 2009-09-03 |
| 1356664247 | West Georgia Medical Center, Inc. | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2010-03-05 |
| 1649403973 | West Georgia Medical Center, Inc. | Hospice, Inpatient | 1510 Vernon Rd, Lagrange, GA 30240-4131 | 2009-09-03 |
| 1558594887 | West Georgia Medical Center, Inc. | Home Health | 120 Glenn Bass Rd, Lagrange, GA 30240-5809 | 2009-09-03 |
| 1821221144 | West Georgia Medical Center, Inc. | General Acute Care Hospital | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2009-09-03 |
| 1558594879 | West Georgia Medical Center, Inc. | Skilled Nursing Facility | 200 Medical Dr, Lagrange, GA 30240-4153 | 2009-09-03 |
| Street Address |
1400 HOGANSVILLE RD |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30241-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346214996 | Lagrange Troup County Hospital Authority | Skilled Nursing Facility | 1400 Hogansville Rd, Lagrange, GA 30241-1422 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
| 1235303686 | Atlas Neck & Back Center | Chiropractor | 309 N. Morgan St., Suite A, Lagrange, GA 30241 | 2008-04-16 |
| 1578756565 | Richard Freeman Simmons | Dentist | 2219 B West Point Rd, Dr Richard F Simmons, Lagrange, GA 30241 | 2007-08-22 |
| 1013071851 | Troup County School District | Local Education Agency (LEA) | 100 North Davis Road, Lagrange, GA 30241 | 2006-12-19 |
| 1851748172 | Medventures Physical Therapy, LLC | Physical Therapist | 1075 Lafayette Parkway, Ste 220, Lagrange, GA 30241 | 2016-05-17 |
| 1154784205 | Med Ventures Mri, LLC | Radiology | 1075 Lafayette Parkway, Ste 120, Lagrange, GA 30241 | 2016-04-05 |
| 1437514965 | Holly Renee Abbott | Counselor | 104 Harwell Ave, Lagrange, GA 30241 | 2015-12-29 |
| 1386780104 | Andre D Feria Md | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2007-01-29 |
| 1356354500 | Mohd Khairul Anam | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2006-08-15 |
| 1417914052 | Troup County Health Department | Public Health or Welfare | 1220 Hogansville Rd, Department of Family and Childrens Services Health Cent, Lagrange, GA 30241 | 2006-04-27 |
| Find all providers in zip 30241 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467600726 | Lagrange Nursing & Rehabilitation Center, Inc. | Skilled Nursing Facility | 383 Opportunity Way, Lagrange, OH 44050-9019 | 2008-08-28 |
| 1407908163 | Adk Lagrange Operator, LLC | Skilled Nursing Facility | 2111 W Point Rd, Lagrange, GA 30240-4047 | 2007-01-16 |
| 1710934518 | Hendricks County Hospital | Skilled Nursing Facility | 770 N 075 E, Lagrange, IN 46761-9359 | 2006-05-27 |
| 1346214996 | Lagrange Troup County Hospital Authority | Skilled Nursing Facility | 1400 Hogansville Rd, Lagrange, GA 30241-1422 | 2006-02-13 |
| 1831583830 | C.r. of Lagrange, LLC | Skilled Nursing Facility | 2111 W Point Rd, Lagrange, GA 30240-4047 | 2015-03-27 |
| 1790124402 | Rehabcare | Skilled Nursing Facility | 4735 Willow Springs Rd, Lagrange, IL 60525 | 2013-06-17 |
| 1558594879 | West Georgia Medical Center, Inc. | Skilled Nursing Facility | 200 Medical Dr, Lagrange, GA 30240-4153 | 2009-09-03 |
| 1376615740 | Baptist Healthcare System, Inc | Skilled Nursing Facility | 1025 New Moody Ln, Lagrange, KY 40031 | 2006-11-14 |
| 1811961659 | Lagrange Troup County Hospital Authority | Skilled Nursing Facility | 200 Medical Dr, Florence Hand Home, Lagrange, GA 30240-4153 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281982 | Georgia Regional Health Services LLC | Skilled Nursing Facility | 3731 Lake Pass Ln, Suwanee, GA 30024-8422 | 2020-09-30 |
| 1124633268 | Lavender Mountain Senior Living Inc | Skilled Nursing Facility | 600 Eagle Lake Trl, Rome, GA 30165-2207 | 2020-09-15 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1205486859 | Magnolia Manor of Liberty County, Inc. | Skilled Nursing Facility | 625 N Coastal Hwy # 17, Midway, GA 31320-3433 | 2019-09-16 |
| 1497301170 | Prestige Health Services LLC | Skilled Nursing Facility | 1770 Indian Trail Lilburn Rd Ste 420, Norcross, GA 30093-2644 | 2019-08-17 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1689131724 | Favor Home Health Care Services, LLC | Skilled Nursing Facility | 51 Gallery Ct, Acworth, GA 30101-2709 | 2019-02-25 |
| 1104398866 | University Extended Care, Inc | Skilled Nursing Facility | 1005 Highway 88 N, Keysville, GA 30816 | 2018-12-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 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.