NPIMap

Organization Active NPI

Hospital Authority of Washington County

Doing business as Washington County Family Practice

  • Specialist
  • Sandersville, GA
National Provider Identifier
1447560925
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HOSPITAL AUTHORITY OF WASHINGTON COUNTY
Doing business as
Washington County Family Practice
Practice address
610 Ferncrest Dr Ste B
Sandersville, GA 31082-1863
Phone
(478) 552-9000
Fax
(478) 240-2057
NPI assigned
Oct 18, 2010
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
Pamela L Stewart
Title
Ceo
Phone
(478) 240-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

610 Ferncrest Dr Ste B
Sandersville, GA 31082-1863

Mailing address

610 Sparta Rd
Sandersville, GA 31082-1860
Phone (478) 552-9000

Other names 2

  • Washington County Family Practice Doing business as
  • HOSPITAL AUTHORITY OF WASHINGTON COUNTY Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447560925. Details of each certification follow.

Rural health clinic certification: CCN 118579

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WASHINGTON COUNTY FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 12, 2021
Last certification
Aug 12, 2021
Ownership / control type
2B
Facility address
610 Ferncrest Drive
Sandersville, GA 31082
Related CCNs
110086

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1093590Washington County Family Practice610 Ferncrest Drive, Sandersville, GA 31082Certificate of waiverDec 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Anest Reg Med Ctr12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1447560925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821860",
            "telephone_number": "478-552-9000",
            "fax_number": "478-240-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 FERNCREST DR STE B",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821863",
            "telephone_number": "478-552-9000",
            "fax_number": "478-240-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF WASHINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-240-2100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOSPITAL AUTHORITY OF WASHINGTON COUNTY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.