Organization Active NPI

Ty Cobb Healthcare System

  • Medicare Defined Swing Bed Hospital Unit
  • Royston, GA
National Provider Identifier
1710095054
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
059-521 Issued in GA
Legal business name
TY COBB HEALTHCARE SYSTEM
Practice address
521 Franklin Springs St
Royston, GA 30662-3934
Phone
(706) 245-5071
Fax
(706) 245-1411
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Miss Kimberly A Massey
Title
Controller
Phone
(706) 245-1290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 059-521 GA Primary

Addresses

Primary practice location

521 Franklin Springs St
Royston, GA 30662-3934

Mailing address

521 Franklin Springs St
PO Box 589
Royston, GA 30662-3934
Phone (706) 245-5071

Other identifiers 1

IdentifierTypeStateIssuer
00000437SMedicaidGA

Other names 1

  • Cobb Memorial Hospital Swingbed Unit Doing business as

National Provider Directory

National Provider Directory

Locations

521 Franklin Springs St
Royston, GA 30662
Phone (704) 245-1253

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1710095054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 FRANKLIN SPRINGS ST",
            "address_2": "PO BOX 589",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623934",
            "telephone_number": "706-245-5071",
            "fax_number": "706-245-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 FRANKLIN SPRINGS ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623934",
            "telephone_number": "706-245-5071",
            "fax_number": "706-245-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY COBB HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "706-245-1290",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "059-521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000437S",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobb Memorial Hospital Swingbed Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royston, GA

Sources for this page

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