NPIMap

Organization Active NPI

Department of Behavioral Health & Developmental Disabilities

Doing business as Southwestern State Hospital

  • Psychiatric Hospital
  • Thomasville, GA
National Provider Identifier
1447482880
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES
Doing business as
Southwestern State Hospital
Practice address
400 S Pinetree Blvd
Patient Billing Dept
Thomasville, GA 31792-7128
Phone
(229) 227-2977
Fax
(229) 227-2955
NPI assigned
Aug 19, 2009
Last updated
Oct 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Mrs. Hilary J Hoo-You
Title
Regional Hospital Administrator
Phone
(229) 227-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X GA Primary

Addresses

Primary practice location

400 S Pinetree Blvd
Patient Billing Dept
Thomasville, GA 31792-7128

Mailing address

PO Box 1378
Patient Billing Dept
Thomasville, GA 31799-1378
Phone (229) 227-2999

Other names 1

  • Southwestern State Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090825000435 GA Part B Supplier - Clinic/Group Practice 7416002506 Receives reassigned benefits from 178 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Augusta, GA; Columbus, GA; Decatur, GA; Milledgeville, GA; Rome, GA; Savannah, GA; Thomasville, GA

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
Department of Behavioral Health Developmental Disabilities Ga53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 2

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": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1447482880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1378",
            "address_2": "PATIENT BILLING DEPT",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317991378",
            "telephone_number": "229-227-2999",
            "fax_number": "229-227-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S PINETREE BLVD",
            "address_2": "PATIENT BILLING DEPT",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317927128",
            "telephone_number": "229-227-2977",
            "fax_number": "229-227-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "HOO-YOU",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGIONAL HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "229-227-3020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwestern State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.