NPIMap

Organization Active NPI

Hospital Authority of Liberty County

Doing business as Liberty Regional Medical Center

  • Critical Access Hospital
  • Hinesville, GA
National Provider Identifier
1326079260
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
HOSPITAL AUTHORITY OF LIBERTY COUNTY
Doing business as
Liberty Regional Medical Center
Practice address
462 E G Miles Parkway
Hinesville, GA 31313-4000
Phone
(912) 369-9400
Fax
(912) 877-9438
NPI assigned
Jul 6, 2006
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Derek Rozier
Title
Cfo
Phone
(912) 369-9427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X GA Primary

Addresses

Primary practice location

462 E G Miles Parkway
Hinesville, GA 31313-4000

Mailing address

PO Box 919
Hinesville, GA 31310-0919
Phone (912) 369-9400

Other identifiers 2

IdentifierTypeStateIssuer
000001152AMedicaidGA
000856028AMedicaidGA

Other names 1

  • Liberty Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@libertyregional.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040428000377 GA Part B Supplier - Clinic/Group Practice 5799772190 Receives reassigned benefits from 26 practitioners
10 other NPIs on this enrollment
Practice locations: Hinesville, GA; Ludowici, GA; Midway, GA
O20080815000562 GA Part A Provider - Critical Access Hospital 5799772190 Practice locations: Hinesville, GA
O20170501001250 GA Part B Supplier - Clinic/Group Practice 0840577888 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hinesville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326079260. Details of each certification follow.

Hospital certification: CCN 111335

Legal name
HOSPITAL AUTHORITY OF LIBERTY COUNTY
Doing business as
LIBERTY REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 30, 2004
Last certification
Mar 12, 2026
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
Aug 28, 2008 in GA
Enrollment address
462 E G Miles Pkwy
Hinesville, GA 31313-4000
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 9

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Liberty Regional Medical CenterCCN 111335 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Hospital Authority of Liberty County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Derek Rozier Individual Corporate OfficerCfo Jan 1, 2015
W-2 Managing EmployeeCfo Jan 1, 2015
James Rogers Individual Corporate OfficerVice Chairman Nov 5, 2014
James Thomas Individual Corporate OfficerTrustee Nov 5, 2014
Will Darsey Individual Corporate OfficerSecretary/Treasuere Nov 5, 2014
Hospital Authority of Liberty County Organization, Hinesville, GA 5% Or Greater Direct Ownership Interest Nov 5, 2014 100%
Hugh S Kroell Individual Corporate DirectorCeo Apr 7, 2008
W-2 Managing EmployeeCeo Nov 5, 2014
Reginald Pierce Individual Corporate OfficerVice Chairman Nov 5, 2014
Bobby L Herrington Individual Corporate OfficerTrustee Nov 5, 2014
Brooke Horne Individual Corporate OfficerTrustee Nov 5, 2014

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 1

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

FacilityTypeRoleSince
Liberty Regional Medical CenterHinesville, GA, CCN 11Z335 Hospital 5% Or Greater Direct Ownership Interest Dec 13, 2007

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 40

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 40

Affiliated clinicians 74

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

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1326079260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313100919",
            "telephone_number": "912-369-9400",
            "fax_number": "912-877-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 E G MILES PARKWAY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134000",
            "telephone_number": "912-369-9400",
            "fax_number": "912-877-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF LIBERTY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "ROZIER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-369-9427"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001152A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000856028A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@libertyregional.hin.us",
            "affiliation": "N",
            "address_1": "462 E G Miles Parkway",
            "city": "Hinesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313134000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Liberty Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.