LAGRANGE TROUP COUNTY HOSPITAL AUTHORITY (NPI# 1992779748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992779748 |
| Entity Type | Organization |
| Organization Name | LAGRANGE TROUP COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | WEST GEORGIA MEDICAL CENTER |
| Practice Address |
1514 Vernon Rd Lagrange GA 30240-4131 |
| Practice Telephone | 7068821411 |
| Practice Fax Number | 7068453902 |
| Mailing Telephone | 7068821411 |
| Mailing Fax Number | 7068453902 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | MR. GERALD N FULKS (PRESIDENT CEO) |
| Authorized Official Telephone | 7068453244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00002065A | 05 |
| Other Name | Type Code |
|---|---|
| West Georgia Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174597298 | Lagrange Troup County Hospital Authority | Hospice, Inpatient | 1510 Vernon Rd, Lagrange, GA 30240-4131 | 2006-02-15 |
| 1720052863 | Lagrange Troup County Hospital Authority | Home Health | 120 Glenn Bass Rd, Lagrange, GA 30240-5809 | 2006-02-15 |
| 1770557340 | Lagrange Troup County Hospital Authority | Clinic/Center | 140 Glenn Bass Road, Lagrange, GA 30240-5809 | 2006-02-13 |
| 1346214996 | Lagrange Troup County Hospital Authority | Skilled Nursing Facility | 1400 Hogansville Rd, Lagrange, GA 30241-1422 | 2006-02-13 |
| 1811961659 | Lagrange Troup County Hospital Authority | Skilled Nursing Facility | 200 Medical Dr, Florence Hand Home, Lagrange, GA 30240-4153 | 2006-02-16 |
| 1679547921 | Lagrange Troup County Hospital Authority | Durable Medical Equipment & Medical Supplies | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2006-02-14 |
| Street Address |
1514 VERNON RD |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609860014 | Heather Tomlinson Coggins | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2005-08-31 |
| 1437762747 | James L Yancey | Student in an Organized Health Care Education/Training Program | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-08-26 |
| 1700400272 | Jared K Angstadt | Nurse Anesthetist, Certified Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-06-01 |
| 1467092445 | Arielle Watson | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-01-08 |
| 1336799733 | Colby Russey | Physician Assistant | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-09-17 |
| 1306401260 | Brandon Blakely Bisso | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-05-07 |
| 1902460926 | Pamela Teresa Sampson | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-04-24 |
| 1013487065 | Jennifer Nichole Bryant | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2018-12-03 |
| 1932683802 | Darrin Coulter | Physician Assistant | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2018-09-18 |
| 1053892760 | John Veal | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649646472 | Leigh Taylor | General Acute Care Hospital | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2015-08-17 |
| 1821221144 | West Georgia Medical Center, Inc. | General Acute Care Hospital | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2009-09-03 |
| 1174506943 | West Georgia Health System | General Acute Care Hospital | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
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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.