NPIMap

Organization Active NPI

East Georgia Regional Medical Center, LLC

  • General Acute Care Hospital
  • Statesboro, GA
National Provider Identifier
1265486278
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
016506 Issued in GA
Legal business name
EAST GEORGIA REGIONAL MEDICAL CENTER, LLC
Doing business as
East Georgia Regional Medical Center LLC
Practice address
1499 Fair Rd
Statesboro, GA 30458-1683
Phone
(912) 486-1000
NPI assigned
May 22, 2006
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 016506 GA Primary

Addresses

Primary practice location

1499 Fair Rd
Statesboro, GA 30458-1683

Mailing address

PO Box 405998
Atlanta, GA 30384-5998
Phone (912) 486-1000

Other identifiers 2

IdentifierTypeStateIssuer
00000272AMedicaidGA
000913OtherGABLUE CROSS

Other names 1

  • East Georgia Regional Medical Center LLC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040206000533 GA Part B Supplier - Clinic/Group Practice 1557254075 Receives reassigned benefits from 1 practitioner
Practice locations: Statesboro, GA
O20081211000083 GA Part A Provider - Hospital 1557254075 Practice locations: Statesboro, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265486278. Details of each certification follow.

Hospital certification: CCN 110075

Legal name
EAST GEORGIA REGIONAL MEDICAL CENTER, LLC
Doing business as
EAST GEORGIA REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 12, 2025
Beds
150
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 1995 (1 total)
Organization structure
LLCProprietary
Enrollment address
1499 Fair Rd
Statesboro, GA 30458-1683
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
East Georgia Regional Medical CenterCCN 110075 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
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
11D0261102East Georgia Regional Medical Center1499 Fair Road, Statesboro, GA 30458AccreditationNov 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Statesboro Hma Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

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

Locations

1497 Fair Rd
Ste 305
Statesboro, GA 30458
Phone (912) 871-1360

1499 Fair Rd
#67
Statesboro, GA 30458

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
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerPresident/Assist Secretary Jan 6, 2026
Corporate DirectorPresident/Assist Secretary Jan 6, 2026
Health Management Associates LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 99%
Stephen Pennington Individual W-2 Managing EmployeeCeo Jul 9, 2019
William Bradley Cash Individual Corporate OfficerExecutive Vice President No Value Jun 1, 2018
Corporate DirectorExecutive Vice President No Value Jan 6, 2026
Southeast Hma Holdings LLC Organization, Franklin, TN Corporation, LLC 5% Or Greater Direct Ownership Interest Dec 17, 2008 89.26%
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Phillip a Posey Individual Corporate OfficerSenior Vice President Jan 6, 2026
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%
Jason Kevin Johnson Individual Corporate OfficerExecutive Vice President Jan 6, 2020
Corporate DirectorExecutive Vice President Jan 6, 2026
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Health Management Associates LP Organization, Franklin, TN 5% Or Greater Indirect Ownership Interest Jan 27, 2014 99%
Paula M Lalor Individual Corporate DirectorDirector/Delegated Official Apr 1, 2017
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 1, 2017
CHS Community Health Systems Inc Organization, Franklin, TN Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%

Facilities with the same owner 120

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Affinity Hospital LLC

    dba Grandview Medical Center

    • General Acute Care Hospital
    • Birmingham, AL
    • NPI 1023061405

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Psychiatric Hospital Unit
    • Birmingham, AL
    • NPI 1043263221

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Rehabilitation Hospital Unit
    • Birmingham, AL
    • NPI 1720001019

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Bluffton, IN
    • NPI 1356839591

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • General Acute Care Hospital
    • Bluffton, IN
    • NPI 1376594366

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Brandon Hma LLC

    dba Merit Health Rankin

    • General Acute Care Hospital
    • Brandon, MS
    • NPI 1205882669

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Brandon Hma LLC

    dba Merit Health Rankin

    • Psychiatric Hospital Unit
    • Brandon, MS
    • NPI 1427098391

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Bullhead City Hospital Corporation

    dba Western Arizona Regional Medical Center

    • General Acute Care Hospital
    • Bullhead City, AZ
    • NPI 1255302766

    CHS Community Health Systems Inc, Community Health Systems Inc

    CMS ownership
  • Campbell County Hma LLC
    • Skilled Nursing Facility
    • La Follette, TN
    • NPI 1023099447

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Campbell County Hma LLC

    dba Tennova Primary Care Caryville

    • Rural Health Clinic/Center
    • Caryville, TN
    • NPI 1023613361

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Campbell County Hma LLC

    dba Tennova Primary Care Clinton

    • Rural Health Clinic/Center
    • Clinton, TN
    • NPI 1093300717

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Campbell County Hma LLC

    dba Tennova LaFollette Medical Center Clinic

    • Rural Health Clinic/Center
    • La Follette, TN
    • NPI 1407838261

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
View all 120

Practitioners & affiliated clinicians

Practitioners 70

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 70

Affiliated clinicians 266

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

View all 266

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1265486278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405998",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845998",
            "telephone_number": "912-486-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581683",
            "telephone_number": "912-486-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GEORGIA REGIONAL MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "016506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000272A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000913",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Georgia Regional Medical Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.