NPIMap

Organization Active NPI

Jenkins County Hospital

  • Surgery Physician
  • Statesboro, GA
National Provider Identifier
1477860906
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JENKINS COUNTY HOSPITAL
Practice address
16915 Highway 67
Suite a
Statesboro, GA 30458-5819
Phone
(912) 681-2500
Fax
(912) 644-5260
NPI assigned
Sep 3, 2010
Organization subpart
Yes
Parent organization
JENKINS COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Michael W Kleinpeter
Title
Ceo
Phone
(912) 644-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X GA Primary

Addresses

Primary practice location

16915 Highway 67
Suite a
Statesboro, GA 30458-5819

Mailing address

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

Other names 1

  • Jenkins Surgical Associates - Statesboro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jenkins County Hospital4 organizations share this tax ID, including this one
Part of
Jenkins County Hospital

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1477860906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056736",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16915 HIGHWAY 67",
            "address_2": "SUITE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585819",
            "telephone_number": "912-681-2500",
            "fax_number": "912-644-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENKINS COUNTY HOSPITAL",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "KLEINPETER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-644-5300"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenkins Surgical Associates - Statesboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.