NPIMap

Organization Active NPI

Taylor Regional Hospital

  • Ambulance
  • Hawkinsville, GA
National Provider Identifier
1124192604
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
116-05 Issued in GA
Legal business name
TAYLOR REGIONAL HOSPITAL
Practice address
222 Perry Hwy
Hawkinsville, GA 31036-6748
Phone
(478) 783-0200
Fax
(478) 783-2731
NPI assigned
Nov 17, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Sandra G Herndon
Title
Comptroller
Phone
(478) 783-0200

Corporate family (same tax ID) 16

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Ortho Assoc of Central (17 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 116-05 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

222 Perry Hwy
Hawkinsville, GA 31036-6748

Mailing address

PO Box 1297
Hawkinsville, GA 31036-7297
Phone (478) 783-0200

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000001548CMedicaidGA

Other names 1

NPPES NPI Registry
  • Taylor Regional Hospital EMS Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2011.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1124192604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1297",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310367297",
            "telephone_number": "478-783-0200",
            "fax_number": "478-892-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PERRY HWY",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366748",
            "telephone_number": "478-783-0200",
            "fax_number": "478-783-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "478-783-0200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "116-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001548C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Regional Hospital EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 21, 2011; 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.