NPIMap

Organization Active NPI

Southeast Georgia Health System, Inc.

Doing business as Southeast Georgia Health System - Camden Campus

  • General Acute Care Hospital
  • Saint Marys, GA
National Provider Identifier
1194744326
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
020-472 Issued in GA
Legal business name
SOUTHEAST GEORGIA HEALTH SYSTEM, INC.
Doing business as
Southeast Georgia Health System - Camden Campus
Practice address
2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Phone
(912) 576-6200
Fax
(912) 576-6404
NPI assigned
Jul 19, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Sherry Metheny
Title
Financial Analyst Supervisor
Phone
(912) 466-5024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 020-472 GA Primary

Addresses

Primary practice location

2000 Dan Proctor Dr
Saint Marys, GA 31558-3810

Mailing address

2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Phone (912) 576-6200

Other identifiers 2

IdentifierTypeStateIssuer
51000164OtherGABLUE CROSS BLUE SHIELD
00000811AMedicaidGA

Other names 1

  • Southeast Georgia Health System - Camden Campus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000809 GA Part A Provider - Hospital 8729076740 Practice locations: St Marys, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194744326. Details of each certification follow.

Hospital certification: CCN 110146

Legal name
SOUTHEAST GEORGIA HEALTH SYSTEM, INC
Doing business as
SOUTHEAST GEORGIA HEALTH SYSTEM CAMDEN CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 23, 1980
Last certification
Jul 9, 2024
Beds
40
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Mar 13, 1990 in GA
Enrollment address
2000 Dan Proctor Dr
St Marys, GA 31558-3810
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Southeast Georgia Health System -- Camden CampusCCN 110146 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0265439Southeast Georgia Health System, Inc2000 Dan Proctor Dr, Saint Marys, GA 31558AccreditationMay 25, 2027

National Provider Directory

National Provider Directory

Locations

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6996dfed-5d48-4d59-8b7b-8bd86c9887c0/

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Stephen a Chitty Individual Corporate DirectorBoard Member May 1, 2019
Jeffery Barker Individual Corporate DirectorBoard Member May 1, 2024
Kay Hampton Individual Corporate DirectorBoard Member May 1, 2019
Stephen J Grigsby Individual Corporate OfficerChief Financial Officer Apr 29, 2024
Operational/Managerial ControlChief Financial Officer Apr 29, 2024
William O'Neil Suddath Individual Corporate DirectorBoard Member May 1, 2024
Denny a Carter Individual Corporate DirectorBoard Member May 1, 2024
Catina Tindall Individual Corporate DirectorVice Chair May 1, 2023
Valerie a. Hepburn Individual Corporate DirectorTreasurer May 1, 2015
Roosevelt Harris Individual Corporate DirectorBoard Member Jul 1, 2020
Christy Jordan Individual Corporate OfficerInterim President & Ceo Mar 1, 2025
Glenn Gann Individual Corporate OfficerAdministrator Jul 1, 2020
Shirley D Wilson Individual Corporate DirectorBoard Member May 1, 2019
Angela L Heys Individual Corporate DirectorBoard Member Apr 1, 2021
James B Loomis Individual Corporate DirectorBoard Chair Apr 1, 2019
Michael Hodges Individual Corporate DirectorBoard Member Oct 18, 2007
Robert C Turner Individual Corporate DirectorSecretary Apr 1, 2013

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Senior Care Center - BrunswickBrunswick, GA, CCN 115721 Skilled nursing facility Operational/Managerial Control May 1, 2015
Senior Care Center - St. MarysSt. Marys, GA, CCN 115684 Skilled nursing facility Operational/Managerial Control May 1, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 23

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 23

Affiliated clinicians 293

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

View all 293

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1194744326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DAN PROCTOR DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583810",
            "telephone_number": "912-576-6200",
            "fax_number": "912-576-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DAN PROCTOR DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583810",
            "telephone_number": "912-576-6200",
            "fax_number": "912-576-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST GEORGIA HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "METHENY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "FINANCIAL ANALYST SUPERVISOR",
        "authorized_official_telephone_number": "912-466-5024"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "020-472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51000164",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000811A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Georgia Health System - Camden Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeast Georgia Health System - Camden Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.