NPIMap

Organization Active NPI

Hospital Authority of Liberty County

  • Pediatrics Physician
  • Hinesville, GA
National Provider Identifier
1013267202
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HOSPITAL AUTHORITY OF LIBERTY COUNTY
Practice address
455 S.Main Street Ste 105
Hinesville, GA 31313
Phone
(912) 876-0250
Fax
(912) 369-2029
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Derek Rozier
Title
Cfo
Phone
(912) 369-9427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

455 S.Main Street Ste 105
Hinesville, GA 31313

Mailing address

455 S Main Street
Suite 105
Hinesville, GA 31313-4354
Phone (912) 876-0250

Other names 1

  • Liberty Pediatrics Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@libertyregional.hin.us
Direct Messaging Address libertyregprac@lrmc.azalea.phimailbox.com

National Provider Directory

National Provider Directory
Tax ID family
Hospital Authority of Liberty County9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1013267202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN STREET",
            "address_2": "SUITE 105",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134354",
            "telephone_number": "912-876-0250",
            "fax_number": "912-369-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S.MAIN STREET STE 105",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-876-0250",
            "fax_number": "912-369-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF LIBERTY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "ROZIER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-369-9427"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@libertyregional.hin.us",
            "affiliation": "N",
            "address_1": "455 S.Main Street Ste 105",
            "city": "Hinesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "libertyregprac@lrmc.azalea.phimailbox.com",
            "affiliation": "N",
            "address_1": "455 S.Main Street Ste 105",
            "city": "Hinesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Liberty Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.