NPIMap

Organization Active NPI

Hospital Authority of Mitchell County

Doing business as Archbold Mitchell

  • Critical Access Hospital
  • Camilla, GA
National Provider Identifier
1700830247
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
101-120 Issued in GA
Legal business name
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Doing business as
Archbold Mitchell
Mitchell County Hospital
Practice address
90 E Stephens St
Camilla, GA 31730-1836
Phone
(229) 336-5284
Fax
(229) 336-4682
NPI assigned
May 20, 2006
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 101-120 GA Primary

Addresses

Primary practice location

90 E Stephens St
Camilla, GA 31730-1836

Mailing address

920 Cairo Rd
Thomasville, GA 31792-4255
Phone (229) 228-8800

Other identifiers 3

IdentifierTypeStateIssuer
111331A000000OtherGATRAILBLAZER
000001339AMedicaidGA
000020OtherGABC/BS GA

Other names 2

  • Archbold Mitchell Doing business as
  • Mitchell County Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MA, CO, TX, DC, KY, LA, PR9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20031117000138 GA Part B Supplier - Clinic/Group Practice 6002724598 Receives reassigned benefits from 59 practitioners
2 other NPIs on this enrollment
Practice locations: Griffin, GA; Smyrna, GA; Savannah, GA; Richmond Hill, GA; Pelham, GA; Peachtree City, GA; Newnan, GA; Atlanta, GA…
O20070627000196 GA Part A Provider - Critical Access Hospital 6002724598 Practice locations: Camilla, GA
O20250909001076 MA Part B Supplier - Clinic/Group Practice 6002724598 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, MA
O20250909003761 CO Part B Supplier - Clinic/Group Practice 6002724598 Receives reassigned benefits from 2 practitioners
Practice locations: Denver, CO; Longmont, CO
O20250910000073 TX Part B Supplier - Clinic/Group Practice 6002724598 Receives reassigned benefits from 2 practitioners
Practice locations: Beaumont, TX; North Richland Hills, TX
O20250911000130 DC Part B Supplier - Clinic/Group Practice 6002724598 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA
O20250912004118 KY Part B Supplier - Clinic/Group Practice 6002724598 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20260109001982 LA Part B Supplier - Clinic/Group Practice 6002724598 Receives reassigned benefits from 1 practitioner
Practice locations: Belle Chasse, LA
O20260416004093 PR Part B Supplier - Clinic/Group Practice 6002724598 Receives reassigned benefits from 1 practitioner
Practice locations: Carolina, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700830247. Details of each certification follow.

Hospital certification: CCN 111331

Legal name
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Doing business as
ARCHBOLD MITCHELL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 1, 2003
Last certification
Feb 29, 2024
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
90 E Stephens St
Camilla, GA 31730-1836
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Archbold MitchellCCN 111331 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1000 Hawthorne Ave
Ste S
Athens, GA 30606
Phone (706) 548-1386

24 S Ellis St
Camilla, GA 31730
Phone (229) 336-1949

259 US Highway 19 N
Camilla, GA 31730
Phone (229) 227-1229

97 E Broad St
Camilla, GA 31730
Phone (229) 336-5259

99 E Broad St
Camilla, GA 31730
Phone (229) 336-8255

705 17th St
Ste 406
Columbus, GA 31901
Phone (706) 323-8332

167 Hand Ave W
Pelham, GA 31779
Phone (229) 294-2951

617 Stephenson Ave
Savannah, GA 31405

4375 Ave Isla Verde
Apt 11H
Carolina, PR 00979

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrea Kidd Collins Individual Corporate DirectorBoard Member Feb 25, 2025
Craig R Wentworth Individual Corporate DirectorBoard Member Oct 1, 2021
Patricia L Barrett Individual W-2 Managing EmployeeDirector Sep 1, 2006
Carla Pearce Individual W-2 Managing EmployeeChief Accounting Officer Oct 1, 2021
Brian J Szwarc Individual Corporate DirectorBoard Member Oct 1, 2021
Sina E. Griffith Individual Corporate DirectorBoard Member Oct 1, 2021
Jason Odell Burnette Individual Corporate DirectorBoard Member Mar 1, 2025
Josh David Simmons Individual Corporate DirectorBoard Member Jan 1, 2023
John D Archbold Memorial Hospital Inc Organization, Thomasville, GA Non-profit Operational/Managerial Control Jul 2, 1990
Henry a. Stone Individual Corporate DirectorBoard Member Oct 1, 2021
Timothy Eric Ward Individual Corporate DirectorBoard Member Feb 25, 2025
Karen L Bramblett Individual Corporate DirectorBoard Member Jan 1, 2023
Darcy M Craven Individual W-2 Managing EmployeePresident and Ceo Oct 1, 2021
Joe S Carnline Individual Corporate DirectorBoard Member Jan 1, 2023
Ashley T. Cason Individual Corporate DirectorBoard Member Jan 1, 2023
Christopher L Daniels Individual Corporate DirectorBoard Member Mar 1, 2025
Loren Rials Individual Corporate OfficerSVP/Cfo Aug 18, 2025
W-2 Managing EmployeeSVP/Cfo Aug 18, 2025
Marvin E. Dawson Individual Corporate DirectorBoard Member Jan 1, 2023
William G Hamil Individual Corporate DirectorBoard Member Jan 28, 2023
Jami Porter Individual Corporate DirectorBoard Member Jan 1, 2023
Gregory Hembree Individual Corporate OfficerSenior Vice President/Cfo Dec 5, 2016
W-2 Managing EmployeeSenior Vice President/Cfo Dec 5, 2016
Jacquelyn V. Santoro Individual Corporate DirectorBoard Member Jan 1, 2023
Jason M Nesmith Individual Corporate DirectorBoard Member Oct 1, 2021

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 93

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.

View all 93

Affiliated clinicians 41

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1700830247",
    "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": "90 E STEPHENS ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301836",
            "telephone_number": "229-336-5284",
            "fax_number": "229-336-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF MITCHELL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "GA",
            "license": "101-120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZER",
            "identifier": "111331A000000",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001339A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GA",
            "identifier": "000020",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archbold Mitchell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mitchell County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mitchell County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camilla, GA

Sources for this page

Verify at the official NPI Registry.