NPIMap

Organization Active NPI

Effingham Hospital, Inc.

Doing business as Effingham Surgical Services

  • Surgery Physician
  • Springfield, GA
National Provider Identifier
1578876033
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EFFINGHAM HOSPITAL, INC.
Doing business as
Effingham Surgical Services
Practice address
459 Highway 119 S
Ste a
Springfield, GA 31329-3021
Phone
(912) 754-0185
Fax
(912) 754-0186
NPI assigned
Jul 26, 2010
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Mrs. Francine Baker-Witt, RN, MBA, CNHA
Title
Interim Ceo
Phone
(912) 754-0142

Specialties & licenses 1

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

Addresses

Primary practice location

459 Highway 119 S
Ste a
Springfield, GA 31329-3021

Mailing address

459 Highway 119 South
Attn.: Alia Allen/Medical Staff Office
Springfield, GA 31329
Phone (912) 754-0175

Other names 1

  • Effingham Surgical Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Effingham Health System14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

459 Highway 119 S
Ofc
Springfield, GA 31329

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1578876033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 HIGHWAY 119 SOUTH",
            "address_2": "ATTN.: ALIA ALLEN/MEDICAL STAFF OFFICE",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "31329",
            "telephone_number": "912-754-0175",
            "fax_number": "912-754-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 HIGHWAY 119 S",
            "address_2": "STE A",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313293021",
            "telephone_number": "912-754-0185",
            "fax_number": "912-754-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFINGHAM HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "BAKER-WITT",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "912-754-0142",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MBA, CNHA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Effingham Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.