Active NPI
Hospital Authority of Randolph County
Doing business as Randolph Medical Associates
- Rural Health Clinic/Center
- Cuthbert, GA
National Provider Identifier
1396749149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- HOSPITAL AUTHORITY OF RANDOLPH COUNTY
- Doing business as
- Randolph Medical Associates
- Practice address
- 125 McDonald Ave
Cuthbert, GA 39840-5829 - Phone
- (229) 732-3721
- Fax
- (229) 732-6528
- NPI assigned
- Jun 9, 2005
- Last updated
- Mar 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Gilman
- Title
- Ceo
- Phone
- (229) 732-2181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
125 McDonald Ave
Cuthbert, GA 39840-5829
Mailing address
361 Randolph St
Cuthbert, GA 39840-6127
Phone (229) 732-3721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00001427C | Medicaid | GA |
Other names 1
- Randolph Medical Associates
National Provider Directory
National Provider DirectoryLocations
125 McDonald Ave
Cuthbert, GA 39840
Phone (229) 732-3721
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.
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1265567796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456790400000",
"number": "1396749149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 RANDOLPH ST",
"city": "CUTHBERT",
"state": "GA",
"postal_code": "398406127",
"telephone_number": "229-732-3721",
"fax_number": "229-732-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MCDONALD AVE",
"city": "CUTHBERT",
"state": "GA",
"postal_code": "398405829",
"telephone_number": "229-732-3721",
"fax_number": "229-732-6528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL AUTHORITY OF RANDOLPH COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-09",
"last_updated": "2016-03-01",
"status": "A",
"authorized_official_last_name": "GILMAN",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "229-732-2181"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00001427C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Randolph Medical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cuthbert, GA
- Darla Wiggins Hartzog, MCD, CCC-SLP
- Norma Hall Hayes
- Angel M Hill
- Hospital Authority of Randolph County (Southwest Georgia Regional Medical Center)
- Hospital Authority of Randolph County (Cuthbert Surgical Clinic)
- Hospital Authority of Randolph County (Southwest Georgia Regional Medical Center)
- J Larry Pritchett OD PC
- Sabrina Devon Jackson
- Sandy Jackson
- Naomi S Jenkins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.