Hospital Authority of the City of Bainbridge and Decatur County
Organization Active NPI Durable Medical Equipment & Medical Supplies · Bainbridge, GA
NPI 1801901723 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1801901723
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 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
- Organization subpart
- No
Authorized official
- Name
- Ladon Toole
- Title
- Ceo
- Phone
- (229) 243-6109
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 6
Practitioners 22
-
Gloria Browne, M.D.
-
Mariela Castro Salgado, NP-C
-
James Sydney Cochran, M.D.
-
James Madison Cox, O.D.
-
Kimberly A Harbin, M.D.
-
Lisa Wooten Martin, O.D.
-
Hannah Bius Miller, FNP-BC
-
George Joseph Myers IV, D.O.
-
Tracy Smith, NP-C
-
Charles Andrew Walker, M.D.
-
Whitney Hope Womble, FNP-C
-
Alicia Cook, CRNA
-
Alto Lee Johnson III, CRNA
-
Erica Humphrey Powell, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Memorial Hospital and Manor |
Hospital | Operational/Managerial Control | Nov 1, 2010 |
| Memorial Hospital and Manor |
Hospital | Operational/Managerial Control | Nov 1, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057195 | GA | DME Supplier - Physician - Ophthalmology | 1658265137 | Practice locations: Bainbridge, GA |
National Provider Directory
- Tax ID family
- Hospital Authority of the City of Bainbridge and Decatur County Georgi
Locations
603 Wheat Ave
Bainbridge, GA 39819
Phone (229) 246-1209
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171028458A | Medicaid | GA |
Other providers in Bainbridge, GA
- Alta Ann Holton
- Home Convalescent Care
- Hope'S Healing Hands Transport
- Hospital Authority of the City of Bainbridge and Decatur County
- Hospital Authority of the City of Bainbridge and Decatur County
- Hospital Authority of the City of Bainbridge and Decatur County
- Hospital Authority of the City of Bainbridge and Decatur County Georgi
- Hospital Authority of the City of Bainbridge and Decatur County Georgi
- Hospital Authority of the City of Bainbridge and Decatur County Georgi
- Hospital Authority of the City of Bainbridge and Decatur County Georgi
All providers in Bainbridge, GA · Durable Medical Equipment & Medical Supplies in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2025. 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.