NPIMap

Organization Active NPI

Hospital Authority of Washington County

Doing business as Washington County Regional Medical Center

  • Rural Acute Care Hospital
  • Sandersville, GA
National Provider Identifier
1396770004
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
HOSPITAL AUTHORITY OF WASHINGTON COUNTY
Doing business as
Washington County Regional Medical Center
Practice address
610 Sparta Rd
Sandersville, GA 31082-1860
Phone
(478) 240-2060
Fax
(478) 240-2020
NPI assigned
Jul 11, 2006
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Pam Stewart
Title
Ceo
Phone
(478) 240-2155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X GA
Rural Acute Care Hospital 282NR1301X GA Primary

Addresses

Primary practice location

610 Sparta Rd
Sandersville, GA 31082-1860

Mailing address

610 Sparta Rd
P.O. Box 636
Sandersville, GA 31082-1860
Phone (478) 240-2260

Other names 1

  • Washington County Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040507000100 GA Part B Supplier - Clinic/Group Practice 4385552686 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Sandersville, GA
O20110113000265 GA Part A Provider - Hospital 4385552686 1 other NPI on this enrollment
Practice locations: Sandersville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396770004. Details of each certification follow.

Hospital certification: CCN 110086

Legal name
HOSPITAL AUTHORITY OF WASHINGTON COUNTY
Doing business as
WASHINGTON COUNTY REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 29, 1980
Last certification
Sep 6, 2024
Beds
56
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
in GA
Enrollment address
610 Sparta Road
Sandersville, GA 31082-0636
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Washington County Regional Medical CenterCCN 110086 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

610 Ferncrest Dr
Ste B
Sandersville, GA 31082
Phone (478) 552-9000

610 Sparta Rd
#5
Sandersville, GA 31082

7505 Waters Ave
Ste F10
Savannah, GA 31406
Phone (706) 975-5993

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Pamela L Stewart Individual Corporate OfficerCeo Sep 28, 2023
Corporate DirectorBoard Member Sep 28, 2023
W-2 Managing EmployeeAd; Sep 28, 2023

Practitioners & affiliated clinicians

Practitioners 18

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 18

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1396770004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "address_2": "P.O. BOX 636",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821860",
            "telephone_number": "478-240-2260",
            "fax_number": "478-240-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821860",
            "telephone_number": "478-240-2060",
            "fax_number": "478-240-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF WASHINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-240-2155"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washington County Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.