NPIMap

Organization Active NPI

Macon County General Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Lafayette, TN
National Provider Identifier
1033200852
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
0000000080 Issued in TN
Legal business name
MACON COUNTY GENERAL HOSPITAL, INC.
Practice address
305 W Locust St
Lafayette, TN 37083-1712
Phone
(615) 666-7927
Fax
(615) 666-7052
NPI assigned
Sep 27, 2006
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Erin Haley Evans
Title
Patient Financial Services Director
Phone
(615) 666-2147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 0000000080 TN Primary

Addresses

Primary practice location

305 W Locust St
Lafayette, TN 37083-1712

Mailing address

204 Medical Dr
P O Box 378
Lafayette, TN 37083-1719
Phone (615) 666-7927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070509000661 TN Part A Provider - Hospital 8729062740 Practice locations: Lafayette, TN

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1033200852. Details of each certification follow.

Hospital certification: CCN 44Z305

Legal name
MACON COUNTY GENERAL HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1975 in TN
Enrollment address
204 Medical Dr
Lafayette, TN 37083
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Hospital certification: CCN 440078

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
(CLOSED) MACON COUNTY GENERAL HOSPITAL
Certification status
Terminated Other: provider status change, Jun 30, 2001
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 10, 1996
Beds
43
Ownership / control type
Private (not for profit)
Facility address
204 Medical Dr
Lafayette, TN 37083

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Family Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Hanna C Ilia Individual Corporate OfficerGoverning Board Member Jan 3, 2017
Ovation Health Organization, Franklin, TN Management services company Operational/Managerial Control Jul 1, 1975
Radford West Individual Corporate Officer Nov 29, 2012
Scott Tongate Individual Contracted Managing EmployeeCfo May 1, 2017
Thomas Kidd Individual Contracted Managing Employee Nov 29, 2012
Hugh Clark Individual Corporate Officer Nov 29, 2012
Latise Jones Individual W-2 Managing EmployeeDirector, Nursing Services Oct 1, 2012
Stanley Allen Chunn Individual Corporate Officer Nov 29, 2012
Julie Bilbrey Individual W-2 Managing EmployeeDirector, Quality & Risk Managem Apr 3, 2012
Linda Austin Individual Corporate Officer Nov 29, 2012
Tammy Y Gregory Individual W-2 Managing Employee Nov 29, 2012
Angela K Christian Individual W-2 Managing Employee Nov 29, 2012
Olufemi O Odunusi Individual Corporate Officer Nov 29, 2012

Owners & managing parties with NPI records 2

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

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1033200852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEDICAL DR",
            "address_2": "P O BOX 378",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831719",
            "telephone_number": "615-666-7927",
            "fax_number": "615-666-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W LOCUST ST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831712",
            "telephone_number": "615-666-7927",
            "fax_number": "615-666-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON COUNTY GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "HALEY",
        "authorized_official_title_or_position": "PATIENT FINANCIAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "615-666-2147"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "0000000080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, TN

Sources for this page

Verify at the official NPI Registry.