Hospital Authority of Jenkins County
A Medicare group practice based in Millen, GA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 5193717833), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5193717833
- Provider type
- Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 4
- Group size
- 4 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 5
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20220913004162 | GA | Part A Provider - Critical Access Hospital | 1457935504 |
| O20220913004060 | GA | Part A Provider - Critical Access Hospital | 1689258733 |
| O20230204000391 | GA | Part A Provider - Critical Access Hospital | 1760452098 |
| O20040401000747 | GA | Part B Supplier - Clinic/Group Practice | 1457935504 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Hospital Authority of Jenkins County
- Psychiatric Hospital Unit
- Millen, GA
- NPI 1457935504
-
Hospital Authority of Jenkins County
- Medicare Defined Swing Bed Hospital Unit
- Millen, GA
- NPI 1689258733
-
Hospital Authority of Jenkins County
- Critical Access Hospital
- Millen, GA
- NPI 1760452098
-
Hospital Authority of Jenkins County
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Millen, GA
- NPI 1366315418
Practice locations
- Millen, GA5
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (4).
-
Prakul Chandra, MD
- Family Medicine Physician
- Millen, GA
- NPI 1497911937
-
Kylie Floyd
- Psychiatric/Mental Health Nurse Practitioner
- Millen, GA
- NPI 1306635859
-
Jodi Brannen Gilmer, PA-C
- Physician Assistant
- Millen, GA
- NPI 1144671769
-
Jaymal R Patel, M.D.
- Psychiatry Physician
- Moultrie, GA
- NPI 1962433599
-
Tara D Smith, APRN,FNP-C, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Waycross, GA
- NPI 1134505118
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.