NPIMap

Hospital Authority of Jeff Davis County Georgia

A Medicare group practice based in Hazlehurst, GA: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 4981692472), with 30 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4981692472The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
5
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040504000404 GA Part B Supplier - Clinic/Group Practice 1912902263
O20220916001842 GA Part A Provider - Critical Access Hospital 1912902263
O20220914000956 GA Part A Provider - Critical Access Hospital 1205229994
O20220711002042 GA Part A Provider - Rural Health Clinic 1912379082
O20230208001723 GA Part A Provider - Critical Access Hospital 1912902263

NPIs in this group 10

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 30

Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (11).

Sources for this page