NPIMap

Organization Active NPI

Hughston Hospital, Inc.

Doing business as Northside Medical Center

  • General Acute Care Hospital
  • Columbus, GA
National Provider Identifier
1407082308
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HUGHSTON HOSPITAL, INC.
Doing business as
Northside Medical Center
Piedmont Columbus Regional Northside
Practice address
100 Frist CT
Columbus, GA 31909-3578
Phone
(706) 494-2101
Fax
(706) 494-2446
NPI assigned
Jun 5, 2009
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Robert C Cross
Title
VP Government Reimbursement
Phone
(470) 271-3401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

100 Frist CT
Columbus, GA 31909-3578

Mailing address

707 Center St
Suite 400
Columbus, GA 31901-1575
Phone (706) 660-6103

Other names 2

  • Northside Medical Center Doing business as
  • Piedmont Columbus Regional Northside Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090904000184 GA Part A Provider - Hospital 8628142767 Practice locations: Columbus, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407082308. Details of each certification follow.

Hospital certification: CCN 110200

Legal name
HUGHSTON HOSPITAL, INC.
Doing business as
PIEDMONT COLUMBUS REGIONAL NORTHSIDE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 25, 1984
Last certification
Oct 8, 1997
Beds
100
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 2009 (2 total)
Organization structure
CorporationNon-profit
Incorporated
May 22, 2008 in GA
Enrollment address
100 Frist CT
Columbus, GA 31909-3578
Main/Primary Hospital Location
Hospital subgroups
General, Rehabilitation unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Piedmont Columbus Regional NorthsideCCN 110200 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

707 Center St
Columbus, GA 31901
Phone (706) 571-1000

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
John Hester Individual Corporate Director Mar 1, 2018
Shane B Darrah Individual Corporate Director Mar 1, 2018
Operational/Managerial Control Mar 1, 2018
Thomas Arnold Individual Corporate OfficerVP Financial Operations Mar 1, 2018
Michael J Mandl Individual Corporate Director May 1, 2019
Laura Drew Individual Corporate Officer Apr 1, 2018
Piedmont Healthcare Inc Organization, Atlanta, GA Corporation, Non-profit, Chain home office Operational/Managerial Control Mar 1, 2018 100%
Susan McWhirter Individual Corporate Director Jul 1, 2018
Jennifer Upshaw Individual Corporate Director Sep 1, 2023
Maurice S Hill Individual Corporate OfficerPresident and Ceo, Columbus Regiona Aug 28, 2017
W-2 Managing EmployeePresident and Ceo, Columbus Regiona Oct 31, 2012
Todd S Jarrell Individual Corporate Director Jul 1, 2012
Travis Wade Individual Corporate Director Jul 1, 2019
Matt Loudermilk Individual Corporate Director Jul 1, 2023
Beverley a Townsend Individual Corporate Director Jul 1, 2019
Robert C Cross Individual Corporate OfficerVP Government Reimbursement Mar 1, 2018
William E Roundtree Individual Corporate Director Jul 1, 2012
Warren Steele Individual Corporate Director Jul 1, 2009

Owners & managing parties with NPI records 5

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

Facilities with the same owner 29

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

View all 29

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 12

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.

Affiliated clinicians 283

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

View all 283

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1407082308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CENTER ST",
            "address_2": "SUITE 400",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011575",
            "telephone_number": "706-660-6103",
            "fax_number": "706-660-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FRIST CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093578",
            "telephone_number": "706-494-2101",
            "fax_number": "706-494-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHSTON HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP GOVERNMENT REIMBURSEMENT",
        "authorized_official_telephone_number": "470-271-3401"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Northside Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northside Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Piedmont Columbus Regional Northside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.