NPIMap

Organization Active NPI

The Baxley and Appling County Hospital Authority

Doing business as Appling Medical Group

  • Pediatrics Physician
  • Baxley, GA
National Provider Identifier
1437538501
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY
Doing business as
Appling Medical Group
Appling Pediatrics
Appling Physician Group1 more in Other names
Practice address
163 E Tollison St
Baxley, GA 31513-0120
Phone
(912) 367-9841
Fax
(912) 367-7203
NPI assigned
May 22, 2015
Organization subpart
Yes
Parent organization
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Mrs. Andrea Peek Pierce
Title
Ceo
Phone
(912) 367-9841

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

163 E Tollison St
Baxley, GA 31513-0120

Mailing address

PO Box 2070
Baxley, GA 31515-2070
Phone (912) 367-9841

Other practice location 1

105 E Tollison St Ste D
Baxley, GA 31513-0150
Phone (912) 366-9688

Other practice location 2

105 E Tollison St Ste B
Baxley, GA 31513-0150
Phone (912) 367-0102

Other practice location 3

654 S Main St
Baxley, GA 31513-0124
Phone (912) 366-6029

Other names 4

  • Appling Medical Group Doing business as
  • Appling Pediatrics Doing business as
  • Appling Physician Group Doing business as
  • South Georgia Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000489 GA Part B Supplier - Clinic/Group Practice 8426957325 Receives reassigned benefits from 15 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baxley, GA

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Part of
Appling General Hosp

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

105 E Tollison St
Ste D
Baxley, GA 31513
Phone (912) 366-9688

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": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1437538501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315152070",
            "telephone_number": "912-367-9841",
            "fax_number": "912-367-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 E TOLLISON ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130120",
            "telephone_number": "912-367-9841",
            "fax_number": "912-367-7203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 E Tollison St Ste D",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130150",
            "country_code": "US",
            "telephone_number": "912-366-9688",
            "fax_number": "912-366-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 E Tollison St Ste B",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130150",
            "country_code": "US",
            "telephone_number": "912-367-0102",
            "fax_number": "912-367-9988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "654 S Main St",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130124",
            "country_code": "US",
            "telephone_number": "912-366-6029",
            "fax_number": "912-367-2912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2015-05-22",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "PEEK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-367-9841",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appling Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Appling Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Appling Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Georgia Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.