NPIMap

Organization Active NPI

Georgia Department of Human Resources

Doing business as West Central Georgia Regional Hospital

  • Psychiatric Hospital
  • Columbus, GA
National Provider Identifier
1144224767
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
A-106-291 Issued in GA
Legal business name
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Doing business as
West Central Georgia Regional Hospital
Practice address
3000 Schatulga Rd
Columbus, GA 31907-3117
Phone
(706) 568-5000
Fax
(706) 568-5339
NPI assigned
Jun 10, 2005
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. Yekeen A. Aderibigbe, M.D.NPI 1043217672
Title
Clinical Director
Phone
(706) 568-5209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X A-106-291 GA Primary

Addresses

Primary practice location

3000 Schatulga Rd
Columbus, GA 31907-3117

Mailing address

3000 Schatulga Rd
Columbus, GA 31907-3117
Phone (706) 568-5000

Other names 1

  • West Central Georgia Regional Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081030000341 GA Part A Provider - Hospital 2163320250 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144224767. Details of each certification follow.

Hospital certification: CCN 114013

Legal name
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Doing business as
WEST CENTRAL GEORGIA REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Nov 20, 1979
Last certification
Nov 22, 2024
Beds
300 (40 certified)
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
3000 Schatulga Road
Columbus, GA 31907-3117
Hospital subgroups
Psychiatric

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
West Central Georgia Regional HospitalCCN 114013 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Ga Department of Behavioral Health and Developmental Disabilities74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Member of 1

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

Locations

3000 Schatulga Rd
Columbus, GA 31907
Phone (706) 568-5202

Billing Srv
Milledgeville, GA 31062

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Kimberly Kreisler Individual 5% Or Greater Indirect Ownership InterestChief Financial Officer Jan 1, 2024 100%
W-2 Managing EmployeeChief Financial Officer Jan 1, 2024 100%
Operational/Managerial ControlChief Financial Officer Jan 1, 2024 100%
Marcia J Capshaw Individual 5% Or Greater Indirect Ownership InterestRegional Hospital Administrator Jul 1, 2021 100%
Corporate OfficerRegional Hospital Administrator Jul 1, 2021 100%
Corporate DirectorRegional Hospital Administrator Jul 1, 2021 100%
Department of Behavioral Health and Developmental Disabilities Organization, Columbus, GA 5% Or Greater Direct Ownership Interest Jul 1, 2009

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 112

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.

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1144224767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SCHATULGA RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073117",
            "telephone_number": "706-568-5000",
            "fax_number": "706-568-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SCHATULGA RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073117",
            "telephone_number": "706-568-5000",
            "fax_number": "706-568-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DEPARTMENT OF HUMAN RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "ADERIBIGBE",
        "authorized_official_first_name": "YEKEEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "706-568-5209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "A-106-291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Central Georgia Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.