NPIMap

Organization Active NPI

St. Mary's Good Samaritan Hospital, Inc.

Doing business as St. Mary's Good Samaritan Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Greensboro, GA
National Provider Identifier
1013116060
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
066-638 Issued in GA
Legal business name
ST. MARY'S GOOD SAMARITAN HOSPITAL, INC.
Doing business as
St. Mary's Good Samaritan Hospital
Practice address
5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232
Phone
(706) 453-7331
Fax
(706) 453-2696
NPI assigned
Jul 11, 2007
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. MARY'S GOOD SAMARITAN HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Stonish Pierce
Title
President & Ceo
Phone
(706) 389-3930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 066-638 GA Primary

Addresses

Primary practice location

5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232

Mailing address

5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232
Phone (706) 453-7331

Other identifiers 1

IdentifierTypeStateIssuer
000001328SMedicaidGASWING

Other names 1

  • St. Mary's Good Samaritan Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080729000522 GA Part A Provider - Critical Access Hospital 2668546441 Practice locations: Greensboro, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013116060. Details of each certification follow.

Hospital certification: CCN 11Z329

Legal name
ST. MARY'S GOOD SAMARITAN HOSPITAL, INC.
Doing business as
ST. MARY'S HEALTH CARE SYSTEM
Organization structure
CorporationNon-profit
Incorporated
Jan 10, 2008 in GA
Enrollment address
5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Part of
Good Samari Hospi Inc

Member of 1

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

Networks

  • SC HMO

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Trinity Health Georgia, Inc. Organization, Athens, GA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022
Victor Wilson Individual Corporate OfficerChair Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2026
Elizabeth Schoen Individual Corporate OfficerSecretary Nov 1, 2022
Antoinette M Pratt Individual Operational/Managerial ControlChain Home Office Administrator Jul 1, 2019
Robert Ridgway Individual Corporate DirectorBoard Member Jan 1, 2026
Alison McCullick Individual Corporate DirectorBoard Member Jan 1, 2026
Paul Brooks Individual Corporate DirectorBoard Member Jan 1, 2026
Daniel Roth Individual Corporate DirectorBoard Member Jan 1, 2026
Patrick D Willis Individual Corporate DirectorBoard Member Jan 1, 2026
Stonish Pierce Individual Corporate OfficerPresident & Ceo Apr 24, 2023 100%
Corporate DirectorBoard Member Apr 24, 2023
W-2 Managing EmployeePresident & Ceo Apr 24, 2023
Robert M Moore Individual Corporate DirectorBoard Member Jan 1, 2023
Patricia Pepitone Individual Corporate DirectorBoard Member Jan 1, 2026
Ira Edwards Individual Corporate DirectorBoard Member Jan 1, 2026
Willie J Parks Individual Corporate DirectorBoard Member Jan 1, 2026
Elena a Barberis Individual Corporate OfficerTreasurer Jan 1, 2026
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 15, 2013 100%
Jean Meyer Individual Corporate DirectorBoard Member Jan 1, 2023
John Herron Individual Corporate OfficerVice-Chair Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 4

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1013116060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 LAKE OCONEE PKWY",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424232",
            "telephone_number": "706-453-7331",
            "fax_number": "706-453-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 LAKE OCONEE PKWY",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424232",
            "telephone_number": "706-453-7331",
            "fax_number": "706-453-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S GOOD SAMARITAN HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY'S GOOD SAMARITAN HOSPITAL, INC.",
        "enumeration_date": "2007-07-11",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "STONISH",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "706-389-3930"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "066-638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "SWING",
            "identifier": "000001328S",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Mary's Good Samaritan Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.