Burke County Hospital Authority

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

7856 Issued in GA

Legal business name

BURKE COUNTY HOSPITAL AUTHORITY

Practice address

311 W 4TH St
Waynesboro, GA 30830

Phone

(706) 554-2176

Fax

(706) 554-6407

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Thomas K Steiner

Title

Ceo/Cfo

Phone

(706) 554-4435

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Burke Medical Center Health Clinic Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Burke Hospital Company

  • Rural Health Clinic/Center
  • Waynesboro, GA
  • NPI 1851969372

  Sold to, 2021-06-22

  CMS change of ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie P Jenkins, M.D.

  • Family Medicine Physician
  • Waynesboro, GA
  • NPI 1861432916

  Family Medicine

  NPD (past)
• April D Riggs, PA-C

  • Physician Assistant
  • Waynesboro, GA
  • NPI 1013978410
  NPD (past)
• Charles Wike, M.D.

  • Surgery Physician
  • Marietta, GA
  • NPI 1467611152
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1013933944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S LIBERTY ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308309686",
            "telephone_number": "706-437-2655",
            "fax_number": "706-544-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 4TH ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "30830",
            "telephone_number": "706-554-2176",
            "fax_number": "706-554-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Jones Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "GA",
            "postal_code": "308301510",
            "country_code": "US",
            "telephone_number": "706-437-2671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BURKE COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "STEINER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "706-554-4435"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "7856",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "7856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00665959A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burke Medical Center Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burke Medical Center Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Burke County Board of Commissioners
• Burke County Board of Health
• Burke County Board of Health
• Burke County Board of Health
• Burke County Emergency Physicians LLC
• Burke County Hospital Authority
• Burke County Hospital Authority
• Burke County Hospital Authority
• Burke County Hospital Authority
• Burke County Hospital Authority

• Rural Health Clinic/Center in Waynesboro, GA
• Providers in Waynesboro, GA by specialty
• Rural Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.