NPIMap

Organization Active NPI

Hospital Authority of the City of Bainbridge and Decatur County

  • Durable Medical Equipment & Medical Supplies
  • Bainbridge, GA
National Provider Identifier
1801901723
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY
Practice address
603 Wheat Ave Ste 650
Bainbridge, GA 39819-4380
Phone
(229) 243-8597
Fax
(229) 243-1506
NPI assigned
Aug 20, 2006
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Ladon Toole
Title
Ceo
Phone
(229) 243-6109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

603 Wheat Ave Ste 650
Bainbridge, GA 39819-4380

Mailing address

603 Wheat Ave Ste 650
Bainbridge, GA 39819-4380
Phone (229) 243-8597

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930057195 GA DME Supplier - Physician - Ophthalmology 1658265137 Practice locations: Bainbridge, GA

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital Man8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Memorial Hospital and ManorBainbridge, GA, CCN 110132 Hospital Operational/Managerial Control Nov 1, 2010
Memorial Hospital and ManorBainbridge, GA, CCN 11U132 Hospital Operational/Managerial Control Nov 1, 2011

Owned or controlled facilities with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1801901723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 WHEAT AVE STE 650",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194380",
            "telephone_number": "229-243-8597",
            "fax_number": "229-243-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WHEAT AVE STE 650",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194380",
            "telephone_number": "229-243-8597",
            "fax_number": "229-243-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "TOOLE",
        "authorized_official_first_name": "LADON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-243-6109"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

Verify at the official NPI Registry.