Organization Active NPI

Eatonton Health & Rehabilitation

  • Nursing Facility Supplies (DME)
  • Hawkinsville, GA
National Provider Identifier
1083810873
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
EATONTON HEALTH & REHABILITATION
Practice address
440 Industrial Blvd
Hawkinsville, GA 31036
Phone
(478) 783-4988
NPI assigned
Jun 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Karen Fletcher
Title
Part B Billing Coordinator
Phone
(478) 783-4988

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X NU Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU

Addresses

Primary practice location

440 Industrial Blvd
Hawkinsville, GA 31036

Mailing address

440 Industrial Blvd
Hawkinsville, GA 31036
Phone (478) 783-4988

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083810873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 INDUSTRIAL BLVD",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "31036",
            "telephone_number": "478-783-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 INDUSTRIAL BLVD",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "31036",
            "telephone_number": "478-783-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATONTON HEALTH & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PART B BILLING COORDINATOR",
        "authorized_official_telephone_number": "478-783-4988"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.