NPIMap

Organization Active NPI

Bacon County Health Services, Inc.

Doing business as South Georgia Orthopaedic Group

  • Orthopaedic Surgery Physician
  • Alma, GA
National Provider Identifier
1639485394
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
063810 Issued in GA
Legal business name
BACON COUNTY HEALTH SERVICES, INC.
Doing business as
South Georgia Orthopaedic Group
Practice address
205 S Wayne St
Alma, GA 31510-2919
Phone
(912) 632-0260
Fax
(912) 632-9272
NPI assigned
Aug 19, 2010
Last updated
Aug 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Ms. Cindy Turner
Title
Ceo
Phone
(912) 632-8961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 063810 GA Primary

Addresses

Primary practice location

205 S Wayne St
Alma, GA 31510-2919

Mailing address

302 S Wayne St
Alma, GA 31510-2922
Phone (912) 632-8961

Other names 1

  • South Georgia Orthopaedic Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127001164 GA Part B Supplier - Clinic/Group Practice 1850294034 Receives reassigned benefits from 13 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alma, GA

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

207 S Wayne St
Alma, GA 31510
Phone (912) 285-1140

1406 Habersham Dr
Waycross, GA 31501
Phone (912) 287-0333

2507 Alice St
Waycross, GA 31501
Phone (912) 285-3086

Practitioners & affiliated clinicians

Practitioners 8

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": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1639485394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S WAYNE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102922",
            "telephone_number": "912-632-8961",
            "fax_number": "912-632-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S WAYNE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102919",
            "telephone_number": "912-632-0260",
            "fax_number": "912-632-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACON COUNTY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-632-8961",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "063810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Georgia Orthopaedic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.