NPIMap

Organization Active NPI

NW Ga Regional Hospital

  • Institutional Pharmacy
  • Rome, GA
National Provider Identifier
1003939794
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
NW GA REGIONAL HOSPITAL
Practice address
705 N Division St NW
Rome, GA 30165-1454
Phone
(706) 295-6298
NPI assigned
Apr 9, 2007
Last updated
Jun 23, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF GEORGIA DEPARTMENT OF HUMAN RESOURCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Tammy Vaughn
Title
Patient Accounts Officer
Phone
(706) 295-6298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X NU Primary

Addresses

Primary practice location

705 N Division St NW
Rome, GA 30165-1454

Mailing address

705 N Division St NW
Patient Accounts Office
Rome, GA 30165-1454

Other identifiers 2

IdentifierTypeStateIssuer
000355748AMedicaidGA
114014OtherGAMEDICARE PROVIDER NUMBER

Other names 1

  • Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Department of Behavioral Health Developmental Disabilities Ga53 organizations share this tax ID, including this one
Part of
Ga Department of Behavioral Health and Developmental Disabilities

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

705 N Division St NW
Ofc
Rome, GA 30165

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1003939794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N DIVISION ST NW",
            "address_2": "PATIENT ACCOUNTS OFFICE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N DIVISION ST NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651454",
            "telephone_number": "706-295-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW GA REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF GEORGIA DEPARTMENT OF HUMAN RESOURCES",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS OFFICER",
        "authorized_official_telephone_number": "706-295-6298"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000355748A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "114014",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.