HOSPITAL AUTHORITY OF MITCHELL COUNTY (NPI# 1881960151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881960151 |
| Entity Type | Organization |
| Organization Name | HOSPITAL AUTHORITY OF MITCHELL COUNTY |
| Other Organization Name | ARCHBOLD - PELHAM PRIMARY CARE CLINIC |
| Practice Address |
250 Blanton St Ne Pelham GA 31779-1138 |
| Mailing Address |
920 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2292942437 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | GREG HEMBREE (SENIOR VP/CFO) |
| Authorized Official Telephone | 2292282853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Archbold - Pelham Primary Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003903022 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 37 S Ellis St, Camilla, GA 31730-1812 | 2006-10-10 |
| 1295820660 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 608 Dogwood Dr Ne, Pelham, GA 31779-1132 | 2006-10-03 |
| 1700830247 | Hospital Authority of Mitchell County | General Acute Care Hospital | 90 E Stephens St, Camilla, GA 31730-1836 | 2006-05-20 |
| 1235583857 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
| 1104270727 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
| 1740634336 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
| 1962602730 | Hospital Authority of Mitchell County | Pharmacy | 90 E Stephens St, Camilla, GA 31730-1836 | 2007-07-20 |
| 1922211515 | Hospital Authority of Mitchell County | Clinic/Center | 259 Us Highway 19 North, Camilla, GA 31730-1410 | 2007-05-08 |
| 1437225356 | Hospital Authority of Mitchell County | Medicare Defined Swing Bed Unit | 90 E Stephens St, Camilla, GA 31730-1836 | 2006-11-24 |
| 1609965060 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 37 S Ellis St, Camilla, GA 31730-1812 | 2006-10-12 |
| Street Address |
250 BLANTON ST NE |
| City | PELHAM |
| State | GA |
| Zip Code | 31779-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326329566 | Mary Elaine Bailey | Nurse Practitioner | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2011-09-01 |
| 1053763961 | Sarah Brooks | Nurse Practitioner | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689728 | Autry State Prison Pharmacy | Pharmacy | 3178 Mount Zion Church Rd, Pelham, GA 31779 | 2018-05-16 |
| 1851776181 | Thomas & Son Family & Child Resource Center, Inc | Community/Behavioral Health | 113 Mclaughlin Street, Nw, Pelham, GA 31779 | 2015-07-28 |
| 1811922115 | Hayden H Moye | Pharmacist | 162 E Railroad St Se, Pelham, GA 31779 | 2006-07-12 |
| 1295820660 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 608 Dogwood Dr Ne, Pelham, GA 31779-1132 | 2006-10-03 |
| 1902828205 | B. Bonita Richter | Dentist | 137 Hand Pl, Pelham, GA 31779-1236 | 2006-07-24 |
| 1194790626 | Cynthia Parker Drury | Family Medicine | 167 Hand Ave W, Pelham, GA 31779-1268 | 2006-02-20 |
| 1306046016 | Mitchell County Hospital | Clinic/Center | 167 Hand Ave W, Pelham, GA 31779-1268 | 2007-07-20 |
| 1356486229 | David B Drury, Md | Family Medicine | 167 Hand Ave W, Pelham, GA 31779-1268 | 2007-02-20 |
| 1073804597 | Alvin Riland Jones IIi | Pharmacist | 120 Curry St Ne, Pelham, GA 31779-1311 | 2011-05-02 |
| 1790894228 | Rite Aid of Georgia Inc | Durable Medical Equipment & Medical Supplies | 120 Curry Street Northeast, Pelham, GA 31779-1311 | 2006-08-29 |
| Find all providers in zip 31779 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821239765 | Phoebe Putney Memorial Hospital, Inc. | Clinic/Center | 410 Curry St Ne, Pelham, GA 31779-1457 | 2009-03-23 |
| 1306046016 | Mitchell County Hospital | Clinic/Center | 167 Hand Ave W, Pelham, GA 31779-1268 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 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.