NPIMap

Organization Active NPI

Effingham Hospital, Inc.

Doing business as Effingham Health System

  • Community/Retail Pharmacy
  • Springfield, GA
National Provider Identifier
1245867688
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EFFINGHAM HOSPITAL, INC.
Doing business as
Effingham Health System
Practice address
459 Highway 119 S
Springfield, GA 31329-3021
Phone
(912) 754-0283
Fax
(912) 754-4412
NPI assigned
Mar 25, 2020
Last updated
Aug 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Dr. Francine Witt, PHD
Title
Ceo
Phone
(912) 754-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

459 Highway 119 S
Springfield, GA 31329-3021

Mailing address

459 Highway 119 S
Springfield, GA 31329-3021
Phone (912) 754-0175

Other names 1

  • Effingham Health System Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170113001163 GA Part B Supplier - Clinic/Group Practice 1254628092 Receives reassigned benefits from 35 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Guyton, GA; Port Wentworth, GA; Rincon, GA; Springfield, GA
O20220503001989 GA Part B Supplier - Pharmacy 1254628092 Practice locations: Springfield, GA

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Effingham Health SystemSpringfield, GA, CCN 111306 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016
Effingham Health SystemSpringfield, GA, CCN 11Z306 Hospital 5% Or Greater Direct Ownership Interest Nov 1, 2016
Effingham Care and Rehabilitation CenterSpringfield, GA, CCN 115106 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016
Effingham Family Medicine at GoshenRincon, GA, CCN 118542 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016
Effingham Family Medicine at GuytonGuyton, GA, CCN 118541 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 12, 2025
Effingham Family Medicine at Twenty OneSpringfield, GA, CCN 118540 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016

Owned or controlled facilities with NPI records 5

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

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1245867688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 HIGHWAY 119 S",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313293021",
            "telephone_number": "912-754-0175",
            "fax_number": "912-754-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 HIGHWAY 119 S",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313293021",
            "telephone_number": "912-754-0283",
            "fax_number": "912-754-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFINGHAM HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-754-0160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Effingham Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, GA

Sources for this page

Verify at the official NPI Registry.