NPIMap

Organization Active NPI

George County Hospital

Doing business as Stonnington Orthopedics and Joint Replacement

  • Orthopaedic Surgery Physician
  • Lucedale, MS
National Provider Identifier
1376166900
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
GEORGE COUNTY HOSPITAL
Doing business as
Stonnington Orthopedics and Joint Replacement
Practice address
57 Dewey St
Lucedale, MS 39452-5707
Phone
(601) 947-3161
NPI assigned
May 18, 2020
Last updated
May 19, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
GEORGE REGIONAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Kara Joanne Goff
Title
Director of Business Office
Phone
(601) 766-4212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

57 Dewey St
Lucedale, MS 39452-5707

Mailing address

PO Box 607
Lucedale, MS 39452-0607
Phone (601) 766-4212

Other names 1

  • STONNINGTON ORTHOPEDICS AND JOINT REPLACEMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040604000732 MS Part B Supplier - Clinic/Group Practice 5294717013 Receives reassigned benefits from 16 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lucedale, MS

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
George Countymobile Inf10 organizations share this tax ID, including this one
Part of
George Countymobile Inf

Other organizations with this tax ID 9

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1376166900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394520607",
            "telephone_number": "601-766-4212",
            "fax_number": "601-947-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 DEWEY ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525707",
            "telephone_number": "601-947-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGE REGIONAL HOSPITAL",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE",
        "authorized_official_telephone_number": "601-766-4212"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STONNINGTON ORTHOPEDICS AND JOINT REPLACEMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STONNINGTON ORTHOPEDICS AND JOINT REPLACEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lucedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.