Glynn-Brunswick Memorial Hospital Authority

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

063-064 Issued in GA

Legal business name

GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY

Doing business as

Southeast Georgia Regional Medical Center

Practice address

2415 Parkwood Dr
Brunswick, GA 31520-4722

Phone

(912) 466-7000

Fax

(912) 466-7026

NPI assigned

Jul 25, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael David Scherneck, CPA

Title

Executive Vice President & Cfo

Phone

(912) 466-7049

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Southeast Georgia Regional Medical Center Doing business as

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1649293440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-7000",
            "fax_number": "912-466-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-7000",
            "fax_number": "912-466-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHERNECK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "912-466-7049",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "GA",
            "license": "063-064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51000165",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000822A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Georgia Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glynn County Board of Health (Glynn County Health Department)
• Glynn County Georgia
• Glynn County Heatlh Department (Coastal Health District)
• Glynn Urologists, P.C.
• Glynn-Brunswick Memorial Hospital Authority (Southeast Georgia Health System - Transitional Care Unit)
• Patrick E Godbey, M.D.
• Rebecca Elizabeth Godwin, LMT
• Ryan Lee Goetz, MD
• Golden Hearts Home Health LLC
• Golden Isles Center for Exceptional Dentistry, P.C.

• Psychiatric Hospital Unit in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Psychiatric Hospital Unit in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.