NPIMap

Organization Active NPI

The Medical Center of Peach County, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Byron, GA
National Provider Identifier
1477677698
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
11Z310 Issued in GA
Legal business name
THE MEDICAL CENTER OF PEACH COUNTY, INC
Practice address
1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone
(478) 654-2000
Fax
(478) 654-2001
NPI assigned
Mar 16, 2007
Organization subpart
Yes
Parent organization
THE MEDICAL CENTER OF PEACH COUNTY, INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Philip Wheeler
Title
Cfo
Phone
(706) 509-3012

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.

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 94

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 94

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare participation

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

Hospital certification: CCN 11Z310

Medicare enrollment files
Legal name
THE MEDICAL CENTER OF PEACH COUNTY, INC.
Doing business as
ATRIUM HEALTH NAVICENT PEACH
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 2011 in GA
Enrollment address
1960 Hwy 247 Connector
Byron, GA 31008-5663
Hospital Swing-Bed Unit

All disclosed owners & managing parties 11

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laura Gentry Individual Corporate OfficerPresident/Ceo Feb 21, 2018
W-2 Managing EmployeePresident/Ceo Feb 21, 2018
Navicent Health Inc Organization, Macon, GA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2011 100%
David a Danzie Individual Corporate DirectorBoard Member Jan 1, 2026
Ah Georgia Inc Organization, Charlotte, NC Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Adrienne S H Purdue Individual Corporate DirectorBoard Member Jan 1, 2026
Thomas M Green Individual Corporate OfficerChairman Nov 8, 2011
Corporate DirectorBoard Member Nov 8, 2011
The Charlotte-Mecklenburg Hospital Authority Organization, Charlotte, NC Medical provider/supplier, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Philip Wheeler Individual Corporate OfficerTreasurer / Interim Cfo Jul 29, 2025
Erin P Snyder Individual Corporate OfficerSecretary Oct 18, 2023
Atrium Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Oct 9, 2020
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20130226000533 GA Part a Provider - Critical Access Hospital 3375795693 Practice locations: Byron, GA

National Provider Directory

National Provider Directory
Part of
The Medical Center

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 11Z310 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

1960 Hwy 247 Connector
Byron, GA 31008-5663

Mailing address

1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000

Other names 2

NPPES NPI Registry
  • Atrium Health Navicent Peach Doing business as
  • The Medical Center of Peach County Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2025.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1477677698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 HWY 247 CONNECTOR",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310085663",
            "telephone_number": "478-654-2000",
            "fax_number": "478-654-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 HWY 247 CONNECTOR",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310085663",
            "telephone_number": "478-654-2000",
            "fax_number": "478-654-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL CENTER OF PEACH COUNTY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MEDICAL CENTER OF PEACH COUNTY, INC",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-509-3012"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "11Z310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Navicent Peach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medical Center of Peach County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byron, GA

Sources for this page

Verify at the official NPI Registry.