John D Archbold Memorial Hospital Inc
Organization Active NPI General Acute Care Hospital · Thomasville, GA
NPI 1194779702 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1194779702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 136-91 (GA)
- Legal business name
- JOHN D ARCHBOLD MEMORIAL HOSPITAL INC
- Practice address
- 915 Gordon Ave
Thomasville, GA 31792-6614 - Phone
- (229) 228-2000
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Gregory S. Hembree
- Title
- Cfo
- Phone
- (229) 228-2880
Owners & managing parties with NPI records 5
-
Jason Odell Burnette, M.D.
-
Jason Mark Nesmith, M.D.
-
Brian J Szwarc, M.D.
Owned or controlled facilities with NPI records 16
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 7
Related certifications (CCN) 2
Facilities with the same owner 2
Practitioners 170
-
William C Allen, MD
-
Mary Anne Bullard, M.D.
-
John Bennett Carico, M.D.
-
Kashyap B Choksi, M.D.-PH.D.
-
Sharif Darwish, M.D.
-
Pranav Diwan, M.D.
-
Yvette Evans Fairley, LCSW
-
Rachel Fennell, PA
-
Shane Wright Herrin, M.D.
-
William B Hooks, PA-C
-
Carolanne Bell Hower, P.A.
-
Robyn Ashley Long, D.O.
-
Robert D Miles Jr., M.D.
-
Chelsey Lauren Mondy, PMHNP-BC
-
Lissa Phelps Murphy, M.D.
-
Cary Carter Newman, M.D.
Affiliated clinicians 333
-
Angela Renee Addison, FNP-C
-
Ivey E. Allen, P.A.
-
John Lee Allen, CRNA
-
Stanley Bruce Allen, PAC
-
William C Allen, MD
-
Rachel Anderson, DO
-
Akash Anrude, DO
-
Prashant Baliga, M.D.
-
Abdul Bari, M.D.
-
Griffin Richard Baum, M.D.
-
Michael Bennefield, NP-C
-
Brandon Richard Bergan, M.D.
-
Joseph H Berger, M.D.
-
Maurice R Bernaiche, D.O.
-
Seth J Bilello, M.D.
-
Daniel Brock Bonner, NP-C
-
Sarah Brooks, NP
Medicare Care Compare: Hospital
- Listed as
- Archbold Memorial Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (12 enrollments) in GA, CO, TX, KY, DC, MA, MI, CA, LA, PR
Hospital certification: CCN 110038
- Legal name
- JOHN D ARCHBOLD MEMORIAL HOSPITAL INC
- Doing business as
- ARCHBOLD MEMORIAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jul 26, 1990
- Beds
- 264
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 2, 1983 in GA
- Enrollment address
- 915 Gordon Ave
Thomasville, GA 31792-6614 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Andrea Kidd Collins |
Corporate Director |
Feb 25, 2025 | |
| Craig R Wentworth |
Corporate Director |
Jul 1, 2021 | |
| Patricia L Barrett |
W-2 Managing Employee |
Sep 1, 2006 | |
| Carla Pearce |
Corporate Officer |
Jul 1, 2021 | |
| W-2 Managing Employee |
Jul 1, 2021 | ||
| Brian J Szwarc |
Corporate Director |
Oct 1, 2021 | |
| Sina E. Griffith |
Corporate Director |
Oct 1, 2021 | |
| Jason Odell Burnette |
Corporate Director |
Mar 1, 2025 | |
| Josh David Simmons |
Corporate Director |
Jan 1, 2023 | |
| Henry a. Stone |
Corporate Director |
Oct 1, 2021 | |
| Timothy Eric Ward |
Corporate Director | Feb 25, 2025 | |
| Karen L Bramblett |
Corporate Director |
Jan 1, 2023 | |
| Darcy M Craven |
Corporate Officer |
Aug 24, 2020 | |
| W-2 Managing Employee |
Aug 24, 2020 | ||
| Joe S Carnline |
Corporate Director |
Jan 1, 2023 | |
| Ashley T. Cason |
Corporate Director |
Jan 1, 2023 | |
| Christopher L Daniels |
Corporate Director |
Mar 1, 2025 | |
| Loren Rials |
W-2 Managing Employee |
Aug 18, 2025 | |
| Marvin E. Dawson |
Corporate Director |
Jan 1, 2023 | |
| William G Hamil |
Corporate Director |
Jan 28, 2023 | |
| Jami Porter |
Corporate Director |
Jan 1, 2023 | |
| Archbold Medical Center Inc |
5% Or Greater Direct Ownership Interest | Dec 20, 2006 | 100% |
| Gregory Hembree |
Corporate Officer |
Dec 5, 2016 | |
| W-2 Managing Employee |
Dec 5, 2016 | ||
| Jacquelyn V. Santoro |
Corporate Director |
Jan 1, 2023 | |
| Jason M Nesmith |
Corporate Director |
Oct 1, 2021 |
All facility ownership & control disclosures 13
| Facility | Type | Role | Since |
|---|---|---|---|
| Archbold Brooks Swingbed |
Hospital | Operational/Managerial Control | Jun 1, 1987 |
| Archbold Grady |
Hospital | Operational/Managerial Control | Apr 26, 2007 |
| Archbold Grady Swingbed |
Hospital | Operational/Managerial Control | Apr 26, 2007 |
| Archbold Mitchell |
Hospital | Operational/Managerial Control | Jul 2, 1990 |
| Archbold Mitchell Swingbed |
Hospital | Operational/Managerial Control | Dec 20, 2006 |
| Archbold Brooks |
Hospital | Operational/Managerial Control | Jun 11, 1987 |
| Mitchell County Nursing Homes |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Oct 1, 1990 Oct 1, 1990 |
| Archbold Living Thomasville |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 1994 Apr 11, 2025 |
| Archbold Living Cairo |
Skilled nursing facility | Adp of the SNF Indirect Ownership Interest (100%) |
Jun 19, 2025 Sep 26, 2023 |
| Hospice of Southwest Georgia |
Hospice | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2023 Jan 1, 2023 |
| Archbold Pediatrics Camilla |
Rural health clinic | Operational/Managerial Control (100%) | May 29, 2014 |
| Archbold Primary Care Camilla |
Rural health clinic | Operational/Managerial Control (100%) | Jul 2, 1990 |
| Archbold Primary Care Pelham |
Rural health clinic | Operational/Managerial Control (100%) | Aug 26, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000138 | GA | Part B Supplier - Clinic/Group Practice | 6002724598 |
Receives reassigned benefits from 59 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Griffin, GA; Smyrna, GA; Savannah, GA; Richmond Hill, GA; Pelham, GA; Peachtree City, GA; Newnan, GA; Atlanta, GA… |
| O20031219000506 | GA | Part B Supplier - Clinic/Group Practice | 4981502622 |
Receives reassigned benefits from 110 practitioners 1 other NPI on this enrollment Practice locations: Moultrie, GA; Newnan, GA; Peachtree City, GA; Quitman, GA; Richmond Hill, GA; Savannah, GA; Smyrna, GA; Thomasville, GA… |
| O20070627000694 | GA | Part a Provider - Hospital | 4981502622 |
1 other NPI on this enrollment Practice locations: Thomasville, GA; Bainbridge, GA; Camilla, GA; Quitman, GA |
| O20250430001855 | CO | Part B Supplier - Clinic/Group Practice | 4981502622 |
Receives reassigned benefits from 2 practitioners Practice locations: Denver, CO; Longmont, CO |
| O20250506000585 | TX | Part B Supplier - Clinic/Group Practice | 4981502622 |
Receives reassigned benefits from 2 practitioners Practice locations: North Richland Hills, TX; Beaumont, TX |
| O20250709001211 | KY | Part B Supplier - Clinic/Group Practice | 4981502622 |
Receives reassigned benefits from 1 practitioner Practice locations: Louisville, KY |
| O20250912002602 | DC | Part B Supplier - Clinic/Group Practice | 4981502622 |
Receives reassigned benefits from 1 practitioner Practice locations: Vienna, VA |
| O20250919000258 | MA | Part B Supplier - Clinic/Group Practice | 4981502622 |
Receives reassigned benefits from 1 practitioner Practice locations: Arlington, MA |
| O20250926001680 | MI | Part B Supplier - Clinic/Group Practice | 4981502622 |
Receives reassigned benefits from 1 practitioner Practice locations: Troy, MI |
| O20251013001136 | CA | Part B Supplier - Clinic/Group Practice | 4981502622 |
Receives reassigned benefits from 1 practitioner Practice locations: Carmel, CA |
| O20260115000087 | LA | Part B Supplier - Clinic/Group Practice | 4981502622 |
Receives reassigned benefits from 1 practitioner Practice locations: Belle Chasse, LA |
| O20260331004120 | PR | Part B Supplier - Clinic/Group Practice | 4981502622 |
Receives reassigned benefits from 1 practitioner Practice locations: Carolina, PR |
National Provider Directory
Locations
2709 Meredyth Dr
Ste 250
Albany, GA 31707
401 Old Albany Rd
Ste A
Thomasville, GA 31792
Phone (229) 228-8190
920 Cairo Rd
Ste A
Thomasville, GA 31792
920 Cairo Rd
#864
Thomasville, GA 31792
2300 E Pinetree Blvd
Thomasville, GA 31792
Phone (229) 228-8050
2705 E Pinetree Blvd
Ste F
Thomasville, GA 31792
Phone (229) 228-5886
1610 John Orr Dr
Ste F
Tifton, GA 31794
Phone (229) 388-0800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| General Acute Care Hospital | 282N00000X | 136-91 | GA | Yes |
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
915 Gordon Ave
Thomasville, GA 31792-6614
Mailing address
920 Cairo Rd
Thomasville, GA 31792-4255
Phone (229) 228-8800
Other practice location 1
114 Mimosa Dr Ste D
Thomasville, GA 31792-6679
Phone (229) 228-2839
Other practice location 2
2705 E Pinetree Blvd Ste A
Thomasville, GA 31792-4875
Phone (229) 228-4136
Other practice location 3
919 S Broad St
Thomasville, GA 31792-6114
Phone (229) 584-5400
Other practice location 4
947 S Broad St
Thomasville, GA 31792-6161
Phone (229) 228-3731
Other practice location 5
2300 E Pinetree Blvd
Thomasville, GA 31792-4825
Phone (229) 228-8050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000063A | Medicaid | GA | |
| 000020 | Other | GA | BC/BS GA |
| 110038A000000 | Other | GA | TRAILBLAZER |
| 267978700 | Medicaid | FL |
Other names
- Archbold Memorial
Other providers in Thomasville, GA
- Andrea Jarzyniecki
- Yveline D Jean-Claude
- Rachel Jenkins
- Bharadwaj M V Jilakaraju
- Joe Garmon
- John D Archbold Memorial Hospital, Inc
- John D Archbold Memorial Hospital, Inc
- John D Archbold Memorial Hospital, Inc
- John D. Archbold Memorial Hospital, Inc.
- John D. Archbold Memorial Hospital, Inc.
All providers in Thomasville, GA · General Acute Care Hospital in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.