NPIMap

Organization Active NPI

The Hospital Authority of Miller County

  • Critical Access Hospital
  • Colquitt, GA
National Provider Identifier
1710105119
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Practice address
208 N Cuthbert St
Colquitt, GA 39837-3517
Phone
(229) 758-3304
NPI assigned
Apr 23, 2007
Last updated
Dec 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Robin A Rau
Title
Ceo
Phone
(229) 758-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

208 N Cuthbert St
Colquitt, GA 39837-3517

Mailing address

209 N Cuthbert St
Colquitt, GA 39837-3518
Phone (229) 758-4270

Other practice location 1

209 N Cuthbert St
Colquitt, GA 39837-3518
Phone (229) 758-4200

Other names 1

  • Miller County Hospital - Pro Fees Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000857 GA Part B Supplier - Clinic/Group Practice 0244224947 Receives reassigned benefits from 29 practitioners
4 other NPIs on this enrollment
Practice locations: Colquitt, GA

Other NPIs with the same Medicare PAC ID 10

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

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

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Miller County HospitalColquitt, GA, CCN 111305 Hospital 5% Or Greater Direct Ownership Interest Feb 24, 2014
Miller County HospitalColquitt, GA, CCN 11Z305 Hospital 5% Or Greater Direct Ownership Interest Feb 24, 2014
Miller Nursing HomeColquitt, GA, CCN 115039 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 26, 1966
Calhoun Nursing HomeEdison, GA, CCN 115264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2013
Miller Home HealthColquitt, GA, CCN 117801 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 16, 2020
Robert E Jennings Medical ClinicArlington, GA, CCN 113497 Rural health clinic 5% Or Greater Direct Ownership Interest Feb 4, 2013

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1710105119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373518",
            "telephone_number": "229-758-4270",
            "fax_number": "229-758-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373517",
            "telephone_number": "229-758-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 N Cuthbert St",
            "address_purpose": "LOCATION",
            "city": "Colquitt",
            "state": "GA",
            "postal_code": "398373518",
            "country_code": "US",
            "telephone_number": "229-758-4200",
            "fax_number": "229-758-5198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE HOSPITAL AUTHORITY OF MILLER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-12-01",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-758-5954"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller County Hospital - Pro Fees",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Miller County Hospital - Pro Fees",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colquitt, GA

Sources for this page

Verify at the official NPI Registry.