Hospital Authority of Ben Hill
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Fitzgerald, GA
NPI 1720173917 · NPPES record last updated Jul 23, 2009
Key facts
- NPI
- 1720173917
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- HOSPITAL AUTHORITY OF BEN HILL
- Practice address
- 200 Perry House Rd
Fitzgerald, GA 31750-8857 - Phone
- (229) 424-7100
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Paige P Wynn
- Title
- Cfo
- Phone
- (229) 424-7100
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 3
Member organizations 1
Related certifications (CCN) 1
Affiliated clinicians 1
-
Eric J. Zanghi, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Hospital certification: CCN 11Z339
- Legal name
- HOSPITAL AUTHORITY OF BEN HILL
- Doing business as
- DORMINY MEMORIAL HOSPITAL
- Organization structure
- Other · Non-profit
- Enrollment address
- 200 Perry House Rd
Fitzgerald, GA 31750-8857 - Hospital subgroups
- Swing-bed approved
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Nate Wilson |
Corporate Director |
Mar 18, 2026 | |
| W-2 Managing Employee | Mar 18, 2026 | ||
| Paige P Wynn |
Corporate Director |
Mar 18, 2026 | |
| W-2 Managing Employee | Mar 18, 2026 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| DMC Internal Medicine and Family Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260512001082 | GA | Part a Provider - Hospital | 3678461373 | Practice locations: Fitzgerald, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
200 Perry House Rd
Fitzgerald, GA 31750-8857
Mailing address
200 Perry House Rd
Fitzgerald, GA 31750-8857
Phone (229) 424-7100
Other names
- Dorminy Medical Center Swingbed
Other providers in Fitzgerald, GA
- Hospital Authority of Ben Hill
- Hospital Authority of Ben Hill
- Hospital Authority of Ben Hill
- Hospital Authority of Ben Hill
- Hospital Authority of Ben Hill
- Emily Burch Howell
- Jimmy Howell
- Clarence J. Hunter Jr.
- J & K Transport and Family Services
- J.H. Harvey Co., LLC
All providers in Fitzgerald, GA · Medicare Defined Swing Bed Hospital Unit in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.