NPIMap

Organization Active NPI

The Medical Center of Peach County, Inc

Doing business as Atrium Health Navicent Peach

  • Critical Access Hospital
  • Byron, GA
National Provider Identifier
1114923406
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
111-136 Issued in GA
Legal business name
THE MEDICAL CENTER OF PEACH COUNTY, INC
Doing business as
Atrium Health Navicent Peach
The Medical Center of Peach County
Practice address
1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone
(478) 654-2000
Fax
(478) 654-2001
NPI assigned
Jun 22, 2005
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Philip Wheeler
Title
Cfo
Phone
(706) 509-3012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 111-136 GA Primary

Addresses

Primary practice location

1960 Hwy 247 Connector
Byron, GA 31008-5663

Mailing address

1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000

Other names 2

  • Atrium Health Navicent Peach Doing business as
  • The Medical Center of Peach County Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121213000487 GA Part A Provider - Critical Access Hospital 3375795693 Practice locations: Byron, GA
O20130402000222 GA Part B Supplier - Clinic/Group Practice 3375795693 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Fort Valley, GA; Byron, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114923406. Details of each certification follow.

Hospital certification: CCN 111310

Legal name
THE MEDICAL CENTER OF PEACH COUNTY, INC.
Doing business as
ATRIUM HEALTH NAVICENT PEACH
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 15, 2000
Last certification
Aug 8, 2025
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2013 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 2011 in GA
Enrollment address
1960 Hwy 247 Connector
Byron, GA 31008-5663
Other Hospital Practice Location

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).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Atrium Health Navicent PeachCCN 111310 · All quality measures
Overall star rating
1 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Laura Gentry Individual Corporate OfficerPresident/Ceo Feb 21, 2018
W-2 Managing EmployeePresident/Ceo Feb 21, 2018
Paul Jones Individual Corporate DirectorBoard Member Feb 23, 2017
Navicent Health Inc Organization, Macon, GA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2011 100%
James C McLendon Individual Corporate OfficerVice Chairman Nov 8, 2011
Corporate DirectorBoard Member Nov 8, 2011
Crystal L Brown Individual Corporate DirectorBoard Member Nov 18, 2011
Ah Georgia Inc Organization, Charlotte, NC Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Thomas M Green Individual Corporate OfficerChairman Nov 8, 2011
Corporate DirectorBoard Member Nov 8, 2011
Sara Murph Individual Corporate DirectorBoard Member Jan 1, 2025
The Charlotte-Mecklenburg Hospital Authority Organization, Charlotte, NC Medical provider/supplier, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Philip Wheeler Individual Corporate OfficerTreasurer / Interim Cfo Jul 29, 2025
Buford James Walker Individual Corporate DirectorBoard Member Jan 1, 2025
Erin P Snyder Individual Corporate OfficerSecretary Oct 18, 2023
Atrium Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Oct 9, 2020
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022

Owners & managing parties with NPI records 6

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

Facilities with the same owner 94

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

  • Central Georgia Rehabilitation
    • Rehabilitation Hospital
    • Macon, GA
    • NPI 1366450710

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, Navicent Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
  • Central Georgia Senior Health, Inc.

    dba Carlyle Place

    • Skilled Nursing Facility
    • Macon, GA
    • NPI 1609865112

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, Navicent Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
  • Floyd Healthcare Management Inc

    dba Atrium Health Floyd Medical Center Behavioral Health

    • Psychiatric Hospital Unit
    • Rome, GA
    • NPI 1023057775

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
  • Floyd Healthcare Management Inc

    dba Atrium Health Floyd Medical Center

    • General Acute Care Hospital
    • Rome, GA
    • NPI 1154377166

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
  • Floyd Healthcare Management Inc

    dba Atrium Health Floyd Medical Center Heyman Hospice Care

    • Community Based Hospice Care Agency
    • Rome, GA
    • NPI 1699721399

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc

    CMS ownership
  • Floyd Healthcare Management Inc

    dba Atrium Health Floyd Medical Center Rehabilitation

    • Rehabilitation Hospital Unit
    • Rome, GA
    • NPI 1801990213

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
  • Navicent Health Baldwin, Inc

    dba Atrium Health Navicent Baldwin

    • General Acute Care Hospital
    • Milledgeville, GA
    • NPI 1841701562

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, Navicent Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
  • Navicent Health Baldwin, Inc

    dba Atrium Health Navicent Baldwin Skilled Nursing Unit

    • Skilled Nursing Facility
    • Milledgeville, GA
    • NPI 1912180878

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, Navicent Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
  • Polk Medical Center, Inc

    dba Atrium Health Floyd Polk Medical Center

    • Critical Access Hospital
    • Cedartown, GA
    • NPI 1073927117

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
  • Polk Medical Center, Inc

    dba Atrium Health Floyd Polk Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Cedartown, GA
    • NPI 1497169429

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
  • The Medical Center of Central Georgia Inc

    dba Atrium Health Navicent The Medical Center

    • General Acute Care Hospital
    • Macon, GA
    • NPI 1043270564

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, Navicent Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
  • The Medical Center of Central Georgia Inc.

    dba Atrium Health Navicent Hospice Pine Pointe

    • Community Based Hospice Care Agency
    • Macon, GA
    • NPI 1760557953

    Advocate Health Inc, Ah Georgia Inc, Atrium Health Inc, Navicent Health Inc, The Charlotte-Mecklenburg Hospital Authority

    CMS ownership
View all 94

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 180

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 180

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1114923406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 HWY 247 CONNECTOR",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310085663",
            "telephone_number": "478-654-2000",
            "fax_number": "478-654-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 HWY 247 CONNECTOR",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310085663",
            "telephone_number": "478-654-2000",
            "fax_number": "478-654-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL CENTER OF PEACH COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-509-3012"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "GA",
            "license": "111-136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Navicent Peach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medical Center of Peach County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byron, GA

Sources for this page

Verify at the official NPI Registry.