NPIMap

Organization Active NPI

Hospital Authority of Washington County

Doing business as Washington County Regional Medical Center Swingbed

  • Nursing Facility/Intermediate Care Facility
  • Sandersville, GA
National Provider Identifier
1003099250
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
HOSPITAL AUTHORITY OF WASHINGTON COUNTY
Doing business as
Washington County Regional Medical Center Swingbed
Practice address
610 Sparta Rd
Sandersville, GA 31082-1860
Phone
(478) 240-2060
NPI assigned
Dec 11, 2007
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pamela L Stewart
Title
Ceo
Phone
(478) 240-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X GA Primary

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 names 1

  • WASHINGTON COUNTY REGIONAL MEDICAL CENTER SWINGBED Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110113000315 GA Part A Provider - Hospital 4385552686 Practice locations: Sandersville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003099250. Details of each certification follow.

Hospital certification: CCN 11U086

Legal name
HOSPITAL AUTHORITY OF WASHINGTON COUNTY
Doing business as
WASHINGTON COUNTY REGIONAL MEDICAL CENTER
Organization structure
GovernmentNon-profit
Enrollment address
610 Sparta Rd
Sandersville, GA 31082-0636
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Regional Mental Health12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pamela L Stewart Individual Corporate OfficerCeo Sep 28, 2023
Corporate DirectorBoard Member Sep 28, 2023
W-2 Managing EmployeeAd; Sep 28, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1003099250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821860",
            "telephone_number": "478-240-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821860",
            "telephone_number": "478-240-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF WASHINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-240-2100"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHINGTON COUNTY REGIONAL MEDICAL CENTER SWINGBED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.