Donalsonville Hospital Inc

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

125318 Issued in GA

Legal business name

DONALSONVILLE HOSPITAL INC

Practice address

102 Hospital Circle
Donalsonville, GA 39845

Phone

(229) 524-5217

Fax

(229) 524-8217

NPI assigned

Aug 2, 2006

Last updated

May 12, 2010By 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. Charles H Orrick

Title

Administrator

Phone

(229) 524-5217

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA, NV, AZ, OR, WA, MI, IN, OK, CA, TX, WI, NH, PA, DC, NY, TN, MA, VA, CT, SC, NC, OH, AL, CO, FL, WV, HI, ND, NJ, LA, IA, KY, NM, MT, UT, IL, PR42 enrollments

Enrollment records 42

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1720095805. Details of each certification follow.

• CCN 110194 Hospital · Active · Details
• CCN 11U194 Hospital · Details

Hospital certification: CCN 110194

Legal name

DONALSONVILLE HOSPITAL INC

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jun 11, 1980

Last certification

Feb 5, 2025

Beds

65

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Dec 15, 1977 in GA

Enrollment address

102 Hospital Cir
Donalsonville, GA 39845-1100
Other Hospital Practice Location

Hospital subgroups

General, Swing-bed approved

Hospital certification: CCN 11U194

Legal name

DONALSONVILLE HOSPITAL INC

Doing business as

DONALSONVILLE HOSPITAL SWING BED UNIT

Organization structure

CorporationNon-profit

Incorporated

Dec 15, 1977 in GA

Enrollment address

102 Hospital Circle
Donalsonville, GA 39845
Hospital Swing-Bed Unit

Hospital subgroups

Swing-bed approved

Related certifications (CCN) 1

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

• Donalsonville Hospital, Inc

  • Rural Acute Care Hospital
  • Donalsonville, GA
  • NPI 1932645777

  Hospital unit

  Provider of Services

Other NPIs with the same Medicare PAC ID 2

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

• Donalsonville Hospital, Inc

  dba D/B/A Seminole Manor Nursing Home

  • Skilled Nursing Facility
  • Donalsonville, GA
  • NPI 1710975206

  7113919820

  Same PAC ID
• Donalsonville Hospital, Inc

  • Rural Acute Care Hospital
  • Donalsonville, GA
  • NPI 1932645777

  7113919820

  Same PAC ID

Listed as

Donalsonville Hospital IncCCN 110194 · All quality measures

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 2

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

• Donalsonville Hospital, Inc

  dba D/B/A Seminole Manor Nursing Home

  • Skilled Nursing Facility
  • Donalsonville, GA
  • NPI 1710975206

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Donalsonville Hospital, Inc

  • Rural Acute Care Hospital
  • Donalsonville, GA
  • NPI 1932645777

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 189

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.

• Royce M Cannington, CRNA

  • Certified Registered Nurse Anesthetist
  • Donalsonville, GA
  • NPI 1487618039
  Medicare reassignment Care Compare group NPD
• Helen E. Carrington, MD

  • Emergency Medicine Physician
  • Washington, GA
  • NPI 1295762169
  Medicare reassignment Care Compare group NPD
• Michael Forehand, ARNP

  • Family Nurse Practitioner
  • Thomasville, GA
  • NPI 1730133521
  Medicare reassignment Care Compare group NPD
• Wendy Page Grimes, FNP-C

  • Family Nurse Practitioner
  • Colquitt, GA
  • NPI 1588397228
  Medicare reassignment Care Compare group NPD
• Sarah Walker Hampton, MD

  • Internal Medicine Physician
  • Donalsonville, GA
  • NPI 1609872217
  Medicare reassignment Care Compare group NPD
• Linda Jones, MD

  • Emergency Medicine Physician
  • Bainbridge, GA
  • NPI 1255385126
  Medicare reassignment Care Compare group NPD
• Vincent Kelley, CRNA

  • Certified Registered Nurse Anesthetist
  • Donalsonville, GA
  • NPI 1578527123
  Medicare reassignment Care Compare group NPD
• Victoria Lewis-Holland, D.O.

  • General Acute Care Hospital
  • Bainbridge, GA
  • NPI 1487721718
  Medicare reassignment Care Compare group NPD
• Zacharey Alan Powell, DNP, FNP-C

  • Family Medicine Physician
  • Bainbridge, GA
  • NPI 1851884068
  Medicare reassignment Care Compare group NPD
• Inder Paul Singh, M.D.

  • Family Medicine Physician
  • Lilburn, GA
  • NPI 1235260696
  Medicare reassignment Care Compare group NPD
• David Swearingain, MD

  • Emergency Medicine Physician
  • Donalsonville, GA
  • NPI 1710990122
  Medicare reassignment Care Compare group NPD
• David K. Vickers

  • Family Nurse Practitioner
  • Adel, GA
  • NPI 1629518014
  Medicare reassignment Care Compare group NPD

Affiliated clinicians 53

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

• Garrett N Bennett, MD

  • Family Medicine Physician
  • Colquitt, GA
  • NPI 1336135946

  Hospital

  Care Compare affiliation
• Homer Elmer Breckenridge III, MD

  • Surgery Physician
  • Donalsonville, GA
  • NPI 1649371790

  Hospital

  Care Compare affiliation
• Royce M Cannington, CRNA

  • Certified Registered Nurse Anesthetist
  • Donalsonville, GA
  • NPI 1487618039

  Hospital

  Care Compare affiliation
• Helen E. Carrington, MD

  • Emergency Medicine Physician
  • Washington, GA
  • NPI 1295762169

  Hospital

  Care Compare affiliation
• January Michelle Floyd, FNP-C

  • Family Nurse Practitioner
  • Bainbridge, GA
  • NPI 1427888346

  Hospital

  Care Compare affiliation
• Michael Forehand, ARNP

  • Family Nurse Practitioner
  • Thomasville, GA
  • NPI 1730133521

  Hospital

  Care Compare affiliation
• Wendy Page Grimes, FNP-C

  • Family Nurse Practitioner
  • Colquitt, GA
  • NPI 1588397228

  Hospital

  Care Compare affiliation
• Gregory L Hall, MD

  • Family Medicine Physician
  • Donalsonville, GA
  • NPI 1295815215

  Hospital

  Care Compare affiliation
• Sarah Walker Hampton, MD

  • Internal Medicine Physician
  • Donalsonville, GA
  • NPI 1609872217

  Hospital

  Care Compare affiliation
• Jacob Harvey Holley III, M.D.

  • General Practice Physician
  • Donalsonville, GA
  • NPI 1962842013

  Hospital

  Care Compare affiliation
• Jeffrey Neal Holley, MD

  • Family Medicine Physician
  • Donalsonville, GA
  • NPI 1912906918

  Hospital

  Care Compare affiliation
• Linda Jones, MD

  • Emergency Medicine Physician
  • Bainbridge, GA
  • NPI 1255385126

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1720095805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HOSPITAL CIRCLE",
            "address_2": "DONALSONVILLE HOSPITAL",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "39845",
            "telephone_number": "229-524-5217",
            "fax_number": "229-524-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HOSPITAL CIRCLE",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "39845",
            "telephone_number": "229-524-5217",
            "fax_number": "229-524-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALSONVILLE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "ORRICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-524-5217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "GA",
            "license": "125318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE PART B",
            "identifier": "CB5811",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PHYSICIANS",
            "identifier": "1D000206181A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHABA/MEDICARE PART B",
            "identifier": "HOSP52",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00206181A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/SWINGBED",
            "identifier": "11U194",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Robin Carr V, D.M.D.
• CBS Healthcare, LLC
• CBS Healthcare, LLC
• Clara Clark, RN
• Jamaca Rashad Coachman, DPT
• Donalsonville Hospital, Inc (D/B/A Seminole Manor Nursing Home)
• Donalsonville Hospital, Inc
• Donalsonville Pharmacy
• Donalsonville Tri-State Home Medical LLC
• Gregory Alan Drake

• Rural Acute Care Hospital in Donalsonville, GA
• Providers in Donalsonville, GA by specialty
• Rural Acute Care Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.