NPIMap

Organization Active NPI

St. Mary's Good Samaritan Hospital, Inc.

Doing business as St. Mary's Good Samaritan Hospital

  • Critical Access Hospital
  • Greensboro, GA
National Provider Identifier
1346209137
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
066623 Issued in GA
Legal business name
ST. MARY'S GOOD SAMARITAN HOSPITAL, INC.
Doing business as
St. Mary's Good Samaritan Hospital
Practice address
5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232
Phone
(706) 453-7331
Fax
(706) 453-2812
NPI assigned
Mar 21, 2006
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Stonish Pierce
Title
President & Ceo
Phone
(706) 389-3930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 066-638 GA
Critical Access Hospital 282NC0060X 066623 GA Primary

Addresses

Primary practice location

5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232

Mailing address

5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232
Phone (706) 453-7331

Other identifiers 1

IdentifierTypeStateIssuer
000001328AMedicaidGA

Other names 1

  • St. Mary's Good Samaritan Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080729000347 GA Part A Provider - Critical Access Hospital 2668546441 Practice locations: Greensboro, GA
O20081212000495 GA Part B Supplier - Clinic/Group Practice 2668546441 Receives reassigned benefits from 33 practitioners
Practice locations: Greensboro, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346209137. Details of each certification follow.

Hospital certification: CCN 111329

Legal name
ST. MARY'S GOOD SAMARITAN HOSPITAL, INC.
Doing business as
ST. MARY'S HEALTH CARE SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2003
Last certification
Sep 25, 2025
Beds
25
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 7, 2008 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 10, 2008 in GA
Enrollment address
5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Marys Good Samaritan HospitalCCN 111329 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Trinity Health Georgia, Inc. Organization, Athens, GA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Victor Wilson Individual Corporate OfficerChair Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2026
Elizabeth Schoen Individual Corporate OfficerSecretary Nov 1, 2022
Antoinette M Pratt Individual Operational/Managerial ControlChain Home Office Administrator Jul 1, 2019
Robert Ridgway Individual Corporate DirectorBoard Member Jan 1, 2026
Alison McCullick Individual Corporate DirectorBoard Member Jan 1, 2026
Paul Brooks Individual Corporate DirectorBoard Member Jan 1, 2026
Daniel Roth Individual Corporate DirectorBoard Member Jan 1, 2026
Patrick D Willis Individual Corporate DirectorBoard Member Jan 1, 2026
Stonish Pierce Individual Corporate OfficerPresident & Ceo Apr 24, 2023 100%
Corporate DirectorBoard Member Apr 24, 2023
W-2 Managing EmployeePresident & Ceo Apr 24, 2023
Robert M Moore Individual Corporate DirectorBoard Member Jan 1, 2023
Patricia Pepitone Individual Corporate DirectorBoard Member Jan 1, 2026
Ira Edwards Individual Corporate DirectorBoard Member Jan 1, 2026
Willie J Parks Individual Corporate DirectorBoard Member Jan 1, 2026
Elena a Barberis Individual Corporate OfficerTreasurer Jan 1, 2026
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 15, 2013 100%
Jean Meyer Individual Corporate DirectorBoard Member Jan 1, 2023
John Herron Individual Corporate OfficerVice-Chair Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 157

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

View all 157

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 66

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 66

Affiliated clinicians 299

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

View all 299

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1346209137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 LAKE OCONEE PKWY",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424232",
            "telephone_number": "706-453-7331",
            "fax_number": "706-453-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 LAKE OCONEE PKWY",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424232",
            "telephone_number": "706-453-7331",
            "fax_number": "706-453-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S GOOD SAMARITAN HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "STONISH",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "706-389-3930"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "066-638",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "GA",
            "license": "066623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001328A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Mary's Good Samaritan Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.