NPIMap

Organization Active NPI

The Baxley & Appling County Hospital Authority

Doing business as Appling Healthcare Group of Blackshear

  • Multi-Specialty Clinic/Center
  • Blackshear, GA
National Provider Identifier
1548828676
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITY
Doing business as
Appling Healthcare Group of Blackshear
Practice address
3345 US Highway 84 Ste 102
Blackshear, GA 31516-2160
Phone
(912) 705-4910
Fax
(912) 705-4911
NPI assigned
Jun 4, 2019
Last updated
Jan 15, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Randall Terry Crawford
Title
Ceo
Phone
(912) 367-9841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

3345 US Highway 84 Ste 102
Blackshear, GA 31516-2160

Mailing address

PO Box 2070
Baxley, GA 31515-2070
Phone (912) 367-9841

Other names 1

  • Appling Healthcare Group of Blackshear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Baxley Appling Co18 organizations share this tax ID, including this one
Part of
The Baxley Appling Co

Other organizations with this tax ID 17

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

View all 17

Locations

3525 US Highway 84
Blackshear, GA 31516

Practitioners & affiliated clinicians

Practitioners 7

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": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1548828676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315152070",
            "telephone_number": "912-367-9841",
            "fax_number": "912-367-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 US HIGHWAY 84 STE 102",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315162160",
            "telephone_number": "912-705-4910",
            "fax_number": "912-705-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-367-9841"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appling Healthcare Group of Blackshear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Appling Healthcare Group of Blackshear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blackshear, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.