NPIMap

Organization Active NPI

Bleckley County Hospital

Doing business as Bleckley Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Cochran, GA
National Provider Identifier
1053461376
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
BLECKLEY COUNTY HOSPITAL
Doing business as
Bleckley Memorial Hospital
Practice address
145 E Peacock St
Cochran, GA 31014-7846
Phone
(478) 934-6211
NPI assigned
Jan 11, 2007
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Amy Smith Cook
Title
Cfo
Phone
(478) 934-6211

Specialties & licenses 1

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

Addresses

Primary practice location

145 E Peacock St
Cochran, GA 31014-7846

Mailing address

145 E Peacock St
Cochran, GA 31014-7846

Other names 1

  • Bleckley Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101021000384 GA Part A Provider - Critical Access Hospital 7719974369 1 other NPI on this enrollment
Practice locations: Cochran, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053461376. Details of each certification follow.

Hospital certification: CCN 11Z302

Legal name
BLECKLEY COUNTY HOSPITAL
Doing business as
BLECKLEY MEMORIAL HOSPITAL
Organization structure
OtherNon-profit
Incorporated
Mar 18, 1964 in GA
Enrollment address
145E Peacock St
Cochran, GA 31014-7846

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).

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Amy Cook Individual Corporate OfficerCfo May 1, 2024
W-2 Managing EmployeeCfo May 1, 2024
Deana Floyd Individual W-2 Managing EmployeeBusiness Office Manager Jun 1, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1053461376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E PEACOCK ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310147846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E PEACOCK ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310147846",
            "telephone_number": "478-934-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLECKLEY COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-934-6211"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bleckley Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bleckley Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cochran, GA

Sources for this page

Verify at the official NPI Registry.