NPIMap

Organization Active NPI

Burke Hospital Company

Doing business as Burke Health

  • General Acute Care Hospital
  • Waynesboro, GA
National Provider Identifier
1730761065
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BURKE HOSPITAL COMPANY
Doing business as
Burke Health
Practice address
351 S Liberty St
Waynesboro, GA 30830-9686
Phone
(000) 000-0000
NPI assigned
Apr 26, 2021
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Michael Kleinpeter
Title
Owner
Phone
(912) 695-1761

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU
Multi-Specialty Clinic/Center 261QM1300X NU
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

351 S Liberty St
Waynesboro, GA 30830-9686

Mailing address

PO Box 60969
Savannah, GA 31420-0969

Other practice location 1

300 Jones Ave
Waynesboro, GA 30830-1509
Phone (706) 702-5636

Other names 1

  • Burke Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210720003471 GA Part A Provider - Hospital 3476956012 Practice locations: Waynesboro, GA
O20220411001540 GA Part B Supplier - Clinic/Group Practice 3476956012 Receives reassigned benefits from 18 practitioners
13 other NPIs on this enrollment
Practice locations: Springfield, GA; Waynesboro, GA; Thomson, GA; Swainsboro, GA; Statesboro, GA; Sandersville, GA; Millen, GA; Louisville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730761065. Details of each certification follow.

Hospital certification: CCN 110113

Legal name
BURKE HOSPITAL COMPANY
Doing business as
BURKE HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 12, 2023
Beds
40
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 1, 2012 (2 total)
Organization structure
LLCProprietary
Incorporated
Jun 25, 2020 in GA
Enrollment address
351 S Liberty St
Waynesboro, GA 30830-9686
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 13

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

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
Burke Medical CenterCCN 110113 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Burke Hospital Company20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Richard William Pope Individual 5% Or Greater Direct Ownership InterestOwner Jun 14, 2021 3.3%
Randall Meredith Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Nicholas Michael Capito Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Michael S Hester Individual Corporate OfficerCeo Jun 14, 2021
W-2 Managing EmployeeCeo Jun 14, 2021
John S Clapp Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Jeremy Jacobs Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
John Bojescul Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Terry Lee Arrington Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Brian E Abell Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Justin Michael Head Individual 5% Or Greater Direct Ownership InterestMinority Owner Jan 1, 2024 2%
Johnny Franklin Christian Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
John H Franklin Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Michael Kleinpeter Individual 5% Or Greater Direct Ownership InterestManaging Partner Jun 14, 2021 10%
Operational/Managerial ControlManaging Partner Jun 14, 2021 10%
Joseph P Rectenwald Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Justin V Bundy Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Kendall Griffith Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Dustin P Gay Individual 5% Or Greater Direct Ownership InterestMinority Owner Oct 1, 2021 3.3%
David Gallagher Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Abraham King Lin Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Mark Christopher Snoddy Individual 5% Or Greater Direct Ownership InterestMinority Owner Jan 1, 2025 3.3%
Richard Vaughan Massie Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Samuel Casey Pitts Individual 5% Or Greater Direct Ownership InterestMinority Owner Jan 1, 2024 2%
Lamar F Callaway Individual 5% Or Greater Direct Ownership InterestMinority Owner Jan 1, 2025 3.3%
Julio E Schwarz Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Ty William Carter Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
John P George Individual 5% Or Greater Direct Ownership InterestManaging Partner Jun 14, 2021 10%
Operational/Managerial ControlManaging Partner Jun 14, 2021 10%
Matthew P Link Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%
Douglas R Phillips Individual 5% Or Greater Direct Ownership InterestMinority Owner Jun 14, 2021 3.3%

Owners & managing parties with NPI records 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 19

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 19

Affiliated clinicians 126

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

View all 126

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1730761065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60969",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314200969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S LIBERTY ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308309686",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Jones Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "GA",
            "postal_code": "308301509",
            "country_code": "US",
            "telephone_number": "706-702-5636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BURKE HOSPITAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "KLEINPETER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-695-1761"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burke Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, GA

Sources for this page

Verify at the official NPI Registry.