Bacon County Health Services, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

063810 Issued in GA

Legal business name

BACON COUNTY HEALTH SERVICES, INC.

Doing business as

South Georgia Orthopaedic Group

Practice address

2003 Alice St
Ste a
Waycross, GA 31501-6209

Phone

(912) 287-1130

Fax

(912) 287-9114

NPI assigned

Mar 26, 2010

Last updated

Aug 19, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

BACON COUNTY HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Ms. Cindy R. Turner

Title

Ceo

Phone

(912) 632-8961

Specialties & licenses 1

Addresses

Other names 1

• South Georgia Orthopaedic Group Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Bacon County Health Services, Inc

  dba Bacon County Rural Health Clinic

  • Rural Acute Care Hospital
  • Alma, GA
  • NPI 1821017831

  O20040127001164

  Same enrollment
• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285

  O20040127001164

  Same enrollment
• Bacon County Health Services, Inc.

  dba South Georgia Orthopaedic Group

  • Orthopaedic Surgery Physician
  • Alma, GA
  • NPI 1639485394

  O20040127001164

  Same enrollment

Part of

Family Medical Center

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1720302292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S WAYNE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102922",
            "telephone_number": "912-632-8961",
            "fax_number": "912-632-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 ALICE ST",
            "address_2": "STE A",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016209",
            "telephone_number": "912-287-1130",
            "fax_number": "912-287-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACON COUNTY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BACON COUNTY HEALTH SERVICES, INC.",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-632-8961",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "063810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Georgia Orthopaedic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atlantic Homeaid Inc (SunCrest Companion Services)
• Lydia Aultman, REGISTERED DIETITIAN
• Nosheen Azam, M.D.
• Najam Azmat, MD
• Babies Can'T Wait
• Michael P Baker, M.D.
• Courtney Baldwin, CSA
• Hannah Harper Banach, NP-C
• Rong Bao, M.D.
• Baptist Village, Inc.

• Orthopaedic Surgery Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.