Hospital Authority of Washington County
Organization Active NPI Nursing Facility/Intermediate Care Facility · Sandersville, GA
NPI 1003099250 · NPPES record last updated Feb 27, 2025
Key facts
- NPI
- 1003099250
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- Legal business name
- HOSPITAL AUTHORITY OF WASHINGTON COUNTY
- Practice address
- 610 Sparta Rd
Sandersville, GA 31082-1860 - Phone
- (478) 240-2060
- NPI assigned
- Dec 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Pamela L Stewart
- Title
- Ceo
- Phone
- (478) 240-2100
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 11
Related certifications (CCN) 2
Practitioners 4
-
Stephen Mark King, M.D.
Affiliated clinicians 3
-
Kirkland Dodson, MD
-
Eddie Richardson, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Hospital certification: CCN 11U086
- Legal name
- HOSPITAL AUTHORITY OF WASHINGTON COUNTY
- Doing business as
- WASHINGTON COUNTY REGIONAL MEDICAL CENTER
- Organization structure
- Government · Non-profit
- Enrollment address
- 610 Sparta Rd
Sandersville, GA 31082-0636 - Hospital subgroups
- Swing-bed approved
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Pamela L Stewart |
Corporate Officer |
Sep 28, 2023 | |
| Corporate Director |
Sep 28, 2023 | ||
| W-2 Managing Employee |
Sep 28, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110113000315 | GA | Part a Provider - Hospital | 4385552686 | Practice locations: Sandersville, GA |
National Provider Directory
- Tax ID family
- Wash Co Regional Medica
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | GA | Yes |
Addresses
Primary practice location
610 Sparta Rd
Sandersville, GA 31082-1860
Mailing address
610 Sparta Rd
Sandersville, GA 31082-1860
Phone (478) 240-2060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001218S | Medicaid | GA |
Other names
- WASHINGTON COUNTY REGIONAL MEDICAL CENTER SWINGBED
Other providers in Sandersville, GA
- Vanesha Harris
- Mark R Harvey
- Curritious Tyrese Havior
- Heritage Inn of Sandersville LLC
- Beverli L. Horton
- Hospital Authority of Washington County
- Hospital Authority of Washington County
- Hospital Authority of Washington County
- Hospital Authority of Washington County
- Hospital Authority of Washington County
All providers in Sandersville, GA · Nursing Facility/Intermediate Care Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.