Active NPI
Healthspan LLP
- Medicare Defined Swing Bed Hospital Unit
- Waynesboro, GA
National Provider Identifier
1467663336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- HEALTHSPAN LLP
- Doing business as
- Burke Medical Center
- Practice address
- 351 Liberty St
Waynesboro, GA 30830-9686 - Phone
- (706) 554-4435
- Fax
- (706) 554-4435
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer A Royal
- Title
- Administrator
- Phone
- (706) 554-4435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Primary |
Addresses
Primary practice location
351 Liberty St
Waynesboro, GA 30830-9686
Mailing address
351 Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435
Other names 1
- Burke Medical Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Augusta, GA
- NPI 1164464087
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": "1190160000000",
"number": "1467663336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 LIBERTY ST",
"city": "WAYNESBORO",
"state": "GA",
"postal_code": "308309686",
"telephone_number": "706-554-4435",
"fax_number": "706-554-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 LIBERTY ST",
"city": "WAYNESBORO",
"state": "GA",
"postal_code": "308309686",
"telephone_number": "706-554-4435",
"fax_number": "706-554-4435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSPAN LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "ROYAL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "706-554-4435"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Burke Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waynesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.