John D. Archbold Memorial Hospital, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

ESRD001121 Issued in GA

Legal business name

JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.

Doing business as

Southwest Georgia Dialysis Facility

Practice address

201 Old Albany Rd
Thomasville, GA 31792-4010

Phone

(229) 227-5000

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gregory S. Hembree

Title

Cfo

Phone

(229) 228-2880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southwest Georgia Dialysis Facility Doing business as

Member of 1

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

• John D. Archbold Memorial Hospital, Inc.

  dba John D. Archbold Memorial Hospital - vRadTN

  • Diagnostic Radiology Physician
  • Thomasville, GA
  • NPI 1841644390

  Member Of

  NPD member

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1629000328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255",
            "telephone_number": "229-228-8800",
            "fax_number": "229-228-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OLD ALBANY RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924010",
            "telephone_number": "229-227-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "HEMBREE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-228-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": "ESRD001121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000407305A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Georgia Dialysis Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John D. Archbold Memorial Hospital, Inc. (John D. Archbold Memorial Hospital - vRadSC)
• John D. Archbold Memorial Hospital, Inc. (Hospice of Southwest Georgia)
• John D. Archbold Memorial Hospital, Inc. (Archbold Pinetree Pharmacy)
• John D. Archbold Memorial Hospital, Inc. (Glenn-Mor Nursing Home)
• John D. Archbold Memorial Hospital, Inc. (Archbold Hospital Pharmacy)
• John D. Archbold Memorial Hospital, Inc. (Archbold Northside)
• John D. Archbold Memorial Hospital, Inc. (John D. Archbold Memorial Hospital - vRadTN)
• John D. Archbold Memorial Hospital, Inc. (Thomas Primary Care Clinic)
• John L. Taylor, Jr., M.D., PA (Plantation Gynecology)
• Frederick Dwayne Johnson Jr., M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Thomasville, GA
• Providers in Thomasville, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.