NPIMap

Organization Active NPI

The Baxley and Appling County Hospital Authority

Doing business as Appling Obstetrics and Gynecology

  • Rural Health Clinic/Center
  • Baxley, GA
National Provider Identifier
1629217799
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
001-502 Issued in GA
Legal business name
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY
Doing business as
Appling Obstetrics and Gynecology
Practice address
195 E Tollison St
Baxley, GA 31513-0120
Phone
(912) 367-0435
Fax
(912) 367-0436
NPI assigned
Feb 13, 2009
Last updated
Jun 4, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
APPLING HEALTHCARE SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Mr. Dale Spell
Title
Ceo
Phone
(912) 367-9841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 001-502 GA Primary

Addresses

Primary practice location

195 E Tollison St
Baxley, GA 31513-0120

Mailing address

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

Other names 1

  • Appling Obstetrics and Gynecology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000489 GA Part B Supplier - Clinic/Group Practice 8426957325 Receives reassigned benefits from 15 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baxley, GA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
The Baxley Appling Co

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1629217799",
    "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": "912-367-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E TOLLISON ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130120",
            "telephone_number": "912-367-0435",
            "fax_number": "912-367-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPLING HEALTHCARE SYSTEMS",
        "enumeration_date": "2009-02-13",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "SPELL",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-367-9841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "001-502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appling Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.