Early Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-049-409 Issued in GA

Legal business name

EARLY MEMORIAL HOSPITAL

Doing business as

Early Memorial Nursing Home

Practice address

11740 Columbia St
Blakely, GA 39823-2574

Phone

(229) 723-3794

Fax

(229) 723-8024

NPI assigned

Jul 6, 2006

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles D. Hightower Jr.

Title

Cfo

Phone

(229) 228-2853

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Early Memorial Nursing Home Doing business as

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1174555734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255",
            "telephone_number": "229-228-8800",
            "fax_number": "229-228-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 COLUMBIA ST",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398232574",
            "telephone_number": "229-723-3794",
            "fax_number": "229-723-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-228-2853",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-049-409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000140874A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Memorial Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tawanna Drake
• Kari Suzanne Dunn, LPC
• Kevin Cordale Eaford, CPT
• Early County Health Dept
• Early County School System
• Early Memorial Hospital (Blakely Medical Group)
• Early Memorial Hospital (Early Memorial Hospital - Swingbed)
• Early Memorial Hospital (Early Memorial Hospital - EMS)
• Early Memorial Hospital
• Early Miller Day (Comp)

• Skilled Nursing Facility in Blakely, GA
• Providers in Blakely, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.