Ty Cobb Healthcare System, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TY COBB HEALTHCARE SYSTEM, INC.

Doing business as

Home Base Health Services

Practice address

29 Clear Creek Pkwy
Lavonia, GA 30553-4172

Phone

(877) 485-5718

Fax

(706) 356-7403

NPI assigned

Jul 25, 2006

Last updated

Aug 14, 2014By 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. Matt R McRee

Title

Cfo

Phone

(706) 356-7456

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Home Base Health Services Doing business as

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

• Cobb Enterprises LLC

  • Certified Registered Nurse Anesthetist
  • Lavonia, GA
  • NPI 1811137128

  Member Of

  NPD member
• Ty Cobb Healthcare System

  dba Brown Memorial Convalescent Center

  • Skilled Nursing Facility
  • Royston, GA
  • NPI 1528175593

  Member Of

  NPD member
• Ty Cobb Medical Group

  • Legal Medicine
  • Royston, GA
  • NPI 1508126541

  Member Of

  NPD member
• Ty Cobb Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Lavonia, GA
  • NPI 1326304486

  Member Of

  NPD member

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1215959341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CLEAR CREEK PKWY",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305534172",
            "telephone_number": "877-485-5718",
            "fax_number": "706-356-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CLEAR CREEK PKWY",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305534172",
            "telephone_number": "877-485-5718",
            "fax_number": "706-356-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY COBB HEALTHCARE SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "MCREE",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-356-7456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA",
            "identifier": "52448230",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059562C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Base Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey A Thomas, M.D.
• Amanda B Thomason, DO
• Toccoa Clinic Medical Associates
• Trinity Healthcare of Winston Salem, Inc. (AeroCare)
• True Health Chiropractic, LLC
• Ty Cobb Healthcare System, Inc. (HealthWorks - Cobb Memorial Hospital)
• Ty Cobb Regional Medical Center LLC
• Ty Cobb Regional Medical Center, Inc
• Vituity-Georgia Anesthesia PC
• Vituity-Georgia Hospitalists PC

• Durable Medical Equipment & Medical Supplies in Lavonia, GA
• Providers in Lavonia, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.