PALMYRA PARK HOSPITAL, INC. (NPI# 1790739753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790739753 |
| Entity Type | Organization |
| Organization Name | PALMYRA PARK HOSPITAL, INC. |
| Other Organization Name | PALMYRA MEDICAL CENTERS |
| Practice Address |
2000 Palmyra Rd Albany GA 31701-1528 |
| Practice Telephone | 2294342000 |
| Practice Fax Number | 2294342138 |
| Mailing Telephone | 2294342000 |
| Mailing Fax Number | 2294342138 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2010-06-24 |
| Authorized Official Name | KAREN HAYES (CFO) |
| Authorized Official Telephone | 2294342100 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMYRA PARK HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| PALMYRA MEDICAL CENTERS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073567038 | Palmyra Park Hospital, Inc. | General Acute Care Hospital | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2006-05-22 |
| 1982658944 | Palmyra Park Hospital, Inc. | General Acute Care Hospital | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2006-05-22 |
| Street Address |
2000 PALMYRA RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437140084 | Palmyra Professional Fees LLC | Nurse Anesthetist, Certified Registered | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2005-11-02 |
| 1083220230 | Julia Erdmier | Pharmacist | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2020-09-22 |
| 1114268547 | Albany Anesthesiologists, LLC | Anesthesiology | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2013-03-11 |
| 1558635003 | Palmyra Emergency Group LLC | Physician Assistant | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2012-03-01 |
| 1992009385 | Hospital Authority of Albany-dougherty County Georgia | Rehabilitation Unit | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2010-12-29 |
| 1043514557 | Hospital Authority of Albany-dougherty County Georgia | General Acute Care Hospital | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2010-12-28 |
| 1023345410 | Beverly Ann Willis | Nurse Practitioner | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-11-06 |
| 1932435294 | Daniel B. Wright | Nurse Practitioner | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-10-21 |
| 1114252459 | Worth Lake Emergency Physicians | Emergency Medicine | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-10-05 |
| 1659606994 | Georgia Em-i Medical Services PC | Emergency Medicine | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
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| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992009385 | Hospital Authority of Albany-dougherty County Georgia | Rehabilitation Unit | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2010-12-29 |
| 1871528620 | Albany Medical Center Hospital | Rehabilitation Unit | 43 New Scotland Ave, Mail Code 29, Albany, NY 12208-3412 | 2006-07-11 |
| 1497795785 | St Peters Hospital | Rehabilitation Unit | 315 S Manning Blvd, Albany, NY 12208-1789 | 2006-06-07 |
| 1316992027 | Phoebe Putney Memorial Hospital, Inc. | Rehabilitation Unit | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538631437 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 1400 Tullie Rd Ne Ste 601, Atlanta, GA 30329-2309 | 2018-12-18 |
| 1316456825 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 605 Big Shanty Road, Nw, Ste 100, Kennesaw, GA 30144-3646 | 2017-09-27 |
| 1386177798 | Southeast Georgia Health Services, L.L.C. | Rehabilitation Unit | 2500 Satilla Pkwy, Waycross, GA 31503-8852 | 2017-04-04 |
| 1578996245 | Complete Healthcare Management LLC | Rehabilitation Unit | 1060 Deer Chase, Stone Mountain, GA 30088-2404 | 2013-08-16 |
| 1306197702 | Children's Healthcare of Atlanta | Rehabilitation Unit | 2270 Duluth Hwy, Duluth, GA 30097-4010 | 2012-09-25 |
| 1497035489 | Body Mechanics Rehabilitation Services, LLC | Rehabilitation Unit | 524 New River Way, Mcdonough, GA 30252-4153 | 2011-08-22 |
| 1598990376 | Phoebe Sumter Medical Center, Inc. | Rehabilitation Unit | 126 Hwy 280 W, Americus, GA 31719-8645 | 2009-05-21 |
| 1124295274 | Va Medical Center-downtown Division/augusta | Rehabilitation Unit | 3336 Thames Pl, Hephzibah, GA 30815-7176 | 2008-05-08 |
| 1942412754 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1134168016 | Northside Hospital, Inc. | Rehabilitation Unit | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-06-06 |
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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.