HOSPITAL AUTHORITY OF LIBERTY COUNTY (NPI# 1477875839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477875839 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF LIBERTY COUNTY |
| Other Organization Name | LIBERTY CARDIOLOGY |
| Practice Address |
455 S Main Street Suite 102 Hinesville GA 31313 |
| Mailing Address |
455 S Main Street Suite 102 Hinesville GA 31313-4354 |
| Practice Telephone | 9128765620 |
| Practice Fax Number | 9128765565 |
| Mailing Telephone | 9128765620 |
| Mailing Fax Number | 9128765565 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2016-07-29 |
| Authorized Official Name | MR. MICHAEL S HESTER (CEO) |
| Authorized Official Telephone | 9123699400 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL AUTHORITY OF LIBERTY COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
063726 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Liberty Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508356395 | Hospital Authority of Liberty County | Obstetrics & Gynecology | 455 S Main St Ste 202, Hinesville, GA 31313-4354 | 2018-05-16 |
| 1023443801 | Hospital Authority of Liberty County | Clinic/Center | 128 Coastal Manor Dr Se, Ludowici, GA 31316-2951 | 2013-09-11 |
| 1013267202 | Hospital Authority of Liberty County | Pediatrics | 455 S.main Street Ste 105, Hinesville, GA 31313 | 2012-09-14 |
| 1356636534 | Hospital Authority of Liberty County | Family Medicine | 455 S.main Street Ste 104, Hinesville, GA 31313 | 2011-06-15 |
| 1265463004 | Hospital Authority of Liberty County | Skilled Nursing Facility | Hwy 84 East, Ludowici, GA 31316 | 2006-07-06 |
| 1326079260 | Hospital Authority of Liberty County | General Acute Care Hospital | 462 E G Miles Parkway, Hinesville, GA 31313-4000 | 2006-07-06 |
| 1063903011 | Hospital Authority of Liberty County | Clinic/Center | 462 Elma G Miles Pkwy, Hinesville, GA 31313-4000 | 2018-05-25 |
| 1093214041 | Hospital Authority of Liberty County | General Practice | 586 Islands Highway, Midway, GA 31320 | 2018-02-06 |
| 1972028660 | Hospital Authority of Liberty County | General Practice | 73 Coastal Manor Dr, Ludowici, GA 31316 | 2017-08-03 |
| 1740516129 | Hospital Authority of Liberty County | Surgery | 455 S Main St Ste 105, Hinesville, GA 31313-4354 | 2009-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOSPITAL AUTHORITY OF LIBERTY COUNTY | 462 Elma G Miles Pkwy, Hinesville, GA 31313-4000 |
| Street Address |
455 S MAIN STREET SUITE 102 |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1992229884 | Medical Software, LLC | Internal Medicine | 3855 Pleasant Hill Rd Ste 350, Duluth, GA 30096-8093 | 2017-08-01 |
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1043684954 | Columbus Cardiology Associates, PC | Internal Medicine | 905 N Jackson St, Ste B, Americus, GA 31719-3089 | 2015-11-17 |
| 1649693045 | Avantgarde Consultants, Inc. | Internal Medicine | 10945 State Bridge Rd Ste 401-708, Alpharetta, GA 30022-8164 | 2014-01-22 |
| 1194153973 | Epic Group 8 | Internal Medicine | 760 Old Roswell Rd, Suite 114, Roswell, GA 30076-2279 | 2013-10-14 |
| 1982940987 | Southeastern Cardiovascular Associates LLC | Internal Medicine | 1076 Bermuda Run, Statesboro, GA 30458-0858 | 2012-12-19 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1962779611 | Cardiac Consultants of Central Georgia | Internal Medicine | 2024 Watson Blvd Bldg 1, Warner Robins, GA 31093-3624 | 2011-11-23 |
| Find all providers with the same taxonomy | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
Please comment or provide details below to improve the information on HOSPITAL AUTHORITY OF LIBERTY COUNTY.
| 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.