Organization Active NPI

The Hospital Authority of Monroe County, Georgia

  • Rural Health Clinic/Center
  • Forsyth, GA
National Provider Identifier
1043441587
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA
Practice address
235 Medical CT
Forsyth, GA 31029-1662
Phone
(478) 994-8786
Fax
(478) 994-8787
NPI assigned
Jul 31, 2009
Organization subpart
Yes
Parent organization
THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Becky Firster
Title
Cfo
Phone
(478) 994-8786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X GA
Rural Health Clinic/Center 261QR1300X GA Primary

Addresses

Primary practice location

235 Medical CT
Forsyth, GA 31029-1662

Mailing address

235 Medical CT
Forsyth, GA 31029-1662
Phone (478) 994-8786

Other names 1

  • Monroe Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602000815 GA Part B Supplier - Clinic/Group Practice 6507848702 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Forsyth, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Monroe County Hospital

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1043441587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MEDICAL CT",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310291662",
            "telephone_number": "478-994-8786",
            "fax_number": "478-994-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MEDICAL CT",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310291662",
            "telephone_number": "478-994-8786",
            "fax_number": "478-994-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "FIRSTER",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-994-8786"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forsyth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.