PHOEBE DORMINY MEDICAL CENTER, INC. (NPI# 1700164274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700164274 |
| Entity Type | Organization |
| Organization Name | PHOEBE DORMINY MEDICAL CENTER, INC. |
| Other Organization Name | PHOEBE DORMINY MEDICAL CENTER |
| Practice Address |
200 Perry House Rd Fitzgerald GA 31750-8857 |
| Practice Telephone | 2294247100 |
| Practice Fax Number | 2294247281 |
| Mailing Telephone | 2294247100 |
| Mailing Fax Number | 2294247281 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | MRS. PAIGE P WYNN (CFO) |
| Authorized Official Telephone | 2294247100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Phoebe Dorminy Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619255189 | Phoebe Dorminy Medical Center, Inc. | Clinic/Center | 182 Perry House Rd, Ste. B, Fitzgerald, GA 31750-8721 | 2011-08-01 |
| 1164700639 | Phoebe Dorminy Medical Center, Inc. | Hospice Care, Community Based | 815 S Main St, Fitzgerald, GA 31750-5701 | 2011-08-01 |
| 1891083085 | Phoebe Dorminy Medical Center, Inc. | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2011-07-21 |
| Street Address |
200 PERRY HOUSE RD |
| City | FITZGERALD |
| State | GA |
| Zip Code | 31750-8857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248624 | Hospital Authority of Ben Hill | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-08-03 |
| 1790329597 | James Benjamin Shiflett Jr. | Physical Therapist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2019-11-05 |
| 1912497314 | Emily Burch Howell | Speech-Language Pathologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2018-05-11 |
| 1053837617 | Tonya Lee Register | Nurse Practitioner | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2017-08-16 |
| 1659806297 | Hospital Authority of Ben Hill | Psychiatric Unit | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2017-04-20 |
| 1255784955 | Kayla Phillips | Registered Nurse | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2016-07-18 |
| 1356703391 | Samantha Leyse | Speech-Language Pathologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2016-03-28 |
| 1124430020 | Dmc Physician Group LLC | Psychologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2014-05-27 |
| 1164790622 | Brittney Crumley Tomberlin | Speech-Language Pathologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2011-12-12 |
| 1891083085 | Phoebe Dorminy Medical Center, Inc. | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2011-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1730604943 | Karen Denise Charles | Rehabilitation Counselor | 410 South Sherman Street, Fitzgerald, GA 31750 | 2017-08-08 |
| 1457898249 | Walter Stone | Nurse Practitioner | 116 Norman Dorminy Dr, Ste 12, Dmc Physician Group LLC, Fitzgerald, GA 31750 | 2017-01-31 |
| 1013315605 | Tift County Hospital Authority | Family Medicine | 246 Ben Hill Drive, Fitzgerald, GA 31750 | 2014-12-12 |
| 1881940211 | We Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 608 N Sherman St, Fitzgerald, GA 31750 | 2012-08-03 |
| 1922365501 | Shayla Curtis | Family Medicine | 613 S Grant St, Fitzgerald, GA 31750 | 2012-04-19 |
| 1134380520 | Winston C Ugbajah | Family Medicine | 116 Benjamin Hill Drive, Suite 12, Fitzgerald, GA 31750 | 2008-06-19 |
| 1306966791 | Larry E Forth O D P C | Optometrist | 708 S Grant St, Suite #18, Fitzgerald, GA 31750 | 2007-03-30 |
| 1740370691 | Thomas R Mann | Internal Medicine | 118 Norman Dorminy Drive, Fitzgerald, GA 31750 | 2006-10-13 |
| 1407865389 | Jude Ogho Okugbeni | Family Medicine | 407 West Pine, Fitzgerald, GA 31750 | 2006-08-07 |
| Find all providers in zip 31750 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720173917 | Hospital Authority of Ben Hill | Medicare Defined Swing Bed Unit | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437536372 | University Mcduffie County Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 2460 Washington Road Ne, Thomson, GA 30824-2199 | 2015-04-29 |
| 1588093637 | Premier Healthcare Investments | Medicare Defined Swing Bed Unit | 509 Sumter, Montezuma, GA 31063 | 2013-11-08 |
| 1487817169 | Hosptial Authority of Liberty County | Medicare Defined Swing Bed Unit | 462 Elma G Miles Parkway, Hinesville, GA 31313-4000 | 2008-07-03 |
| 1023287927 | Union County Hospital Authority | Medicare Defined Swing Bed Unit | 35 Hospital Road, Blairsville, GA 30512 | 2008-02-25 |
| 1467663336 | Healthspan LLP | Medicare Defined Swing Bed Unit | 351 Liberty St, Waynesboro, GA 30830-9686 | 2007-05-24 |
| 1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
| 1548315898 | Tift Regional Health System, Inc | Medicare Defined Swing Bed Unit | 260 Mj Taylor Rd, Adel, GA 31620-3485 | 2007-01-25 |
| 1063578862 | Taylor Telfair Regional Hospital, Inc | Medicare Defined Swing Bed Unit | Route # 1 Highway 341 South, Mcrae, GA 31055-0150 | 2006-12-28 |
| 1710099098 | Charlton Memorial Hospital | Medicare Defined Swing Bed Unit | 2449 Third St, Folkston, GA 31537-8919 | 2006-08-31 |
| 1881652212 | Pacer Health Corporation of Ga | Medicare Defined Swing Bed Unit | 1201 Siloam Rd, Greensboro, GA 30642-2811 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
| City | FITZGERALD |
| Zip Code | 31750 |
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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.