Geneva County Healthcare Authority, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GENEVA COUNTY HEALTHCARE AUTHORITY, INC.

Doing business as

Samson Medical Clinic

Practice address

98 E Morris St
Samson, AL 36477

Phone

(334) 898-2728

NPI assigned

Oct 6, 2006

Last updated

Oct 24, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

GENEVA COUNTY HEALTH CARE AUTHORITY, INCAs reported in NPPES

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

Authorized official

Name

Janet Smith

Title

Cfo

Phone

(334) 684-3655

Specialties & licenses 2

Addresses

Other names 1

• Samson Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Geneva County Healthcare Authority, Inc.

  dba Wiregrass Medical Center

  • General Acute Care Hospital
  • Geneva, AL
  • NPI 1992755292

  O20040330001574

  Same enrollment

Part of

Geneva County Healthcare Authority Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Geneva County Health Care Authority

  dba Wiregrass Medical Center

  • Rural Health Clinic/Center
  • Geneva, AL
  • NPI 1992256416
  NPPES parent name

Practitioners 5

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.

• William Hayden Childs, M.D.

  • Internal Medicine Physician
  • Samson, AL
  • NPI 1730293366
  NPD
• Norma Hughes, C.R.N.P.

  • Family Nurse Practitioner
  • Samson, AL
  • NPI 1063879054
  NPD
• Christopher C Smith, D.O.

  • Family Medicine Physician
  • Samson, AL
  • NPI 1114235496
  NPD (past)
• William Ernest Tyndall, M.D.

  • Emergency Medicine Physician
  • Jacksonville, AL
  • NPI 1508824764
  NPD (past)
• Tammy Gail Williams, FNP-C

  • Family Nurse Practitioner
  • Samson, AL
  • NPI 1932870136
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1457448946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 E MORRIS ST",
            "city": "SAMSON",
            "state": "AL",
            "postal_code": "364771229",
            "telephone_number": "334-898-2728",
            "fax_number": "334-898-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E MORRIS ST",
            "city": "SAMSON",
            "state": "AL",
            "postal_code": "36477",
            "telephone_number": "334-898-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 2nd Avenue",
            "address_purpose": "LOCATION",
            "city": "Hartord",
            "state": "AL",
            "postal_code": "36344",
            "country_code": "US",
            "telephone_number": "334-558-0408",
            "fax_number": "334-588-0492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 E Morris St",
            "address_purpose": "LOCATION",
            "city": "Samson",
            "state": "AL",
            "postal_code": "36477",
            "country_code": "US",
            "telephone_number": "334-898-2728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENEVA COUNTY HEALTHCARE AUTHORITY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENEVA COUNTY HEALTH CARE AUTHORITY, INC",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-684-3655"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "065559",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samson Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Paul Brisson, DO, PHD, MPH, FAWM
• William Hayden Childs, M.D.
• Ga Diagnostics Services Inc
• Geneva County Healthcare Authority, Inc. (Samson Rural Health Clinic)
• Asuncion Paz Hilado, MD
• Norma Hughes, C.R.N.P.
• Patricia Gail Childs Janasky, C.R.N.P.
• Jessie Warren Jones

• Family Medicine Physician in Samson, AL
• Providers in Samson, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.