NPIMap

Organization Active NPI

Putnam General Hospital Authority

Doing business as Putnam General Hospital

  • Pharmacy
  • Eatonton, GA
National Provider Identifier
1508171794
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHH006340 Issued in GA
Legal business name
PUTNAM GENERAL HOSPITAL AUTHORITY
Doing business as
Putnam General Hospital
Practice address
101 Lake Oconee Pkwy
Eatonton, GA 31024-6054
Phone
(706) 485-2711
NPI assigned
Aug 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Anita Culberson
Title
Compliance Officer
Phone
(706) 923-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHH006340 GA Primary

Addresses

Primary practice location

101 Lake Oconee Pkwy
Eatonton, GA 31024-6054

Mailing address

101 Lake Oconee Pkwy
Eatonton, GA 31024-6054
Phone (706) 485-2711

Other identifiers 1

IdentifierTypeStateIssuer
00001537AMedicaidGA

Other names 1

  • Putnam General Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Putnam General Hosp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1508171794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKE OCONEE PKWY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246054",
            "telephone_number": "706-485-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAKE OCONEE PKWY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246054",
            "telephone_number": "706-485-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM GENERAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "CULBERSON",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "706-923-2006"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHH006340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001537A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.