Organization Active NPI

Morgan County Georgia Hospital Authority

Doing business as Morgan Memorial Hospital TCU

  • Skilled Nursing Facility
  • Madison, GA
National Provider Identifier
1457562209
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-104-1540 Issued in GA
Legal business name
MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY
Doing business as
Morgan Memorial Hospital TCU
Practice address
1077 S Main St
Madison, GA 30650-2073
Phone
(706) 752-2284
Fax
(706) 342-3419
NPI assigned
May 24, 2007
Last updated
Feb 24, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MORGAN MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Kyle Henley Wilkinson, CPA, MBA
Title
Cfo
Phone
(706) 752-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-104-1540 GA Primary

Addresses

Primary practice location

1077 S Main St
Madison, GA 30650-2073

Mailing address

PO Box 860
Madison, GA 30650-0860
Phone (706) 752-2284

Other names 1

  • Morgan Memorial Hospital TCU Doing business as

National Provider Directory

National Provider Directory
Part of
Morgan County Georgia Hospital Authority

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1457562209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306500860",
            "telephone_number": "706-752-2284",
            "fax_number": "706-342-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 S MAIN ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306502073",
            "telephone_number": "706-752-2284",
            "fax_number": "706-342-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORGAN MEMORIAL HOSPITAL",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "HENLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-752-2284",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-104-1540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morgan Memorial Hospital TCU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.