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Organization Active NPI

Grady General Hospital

Doing business as Grady General Hospital - Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Cairo, GA
National Provider Identifier
1851466072
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
065-413 Issued in GA
Legal business name
GRADY GENERAL HOSPITAL
Doing business as
Grady General Hospital - Swingbed
Practice address
1155 5TH St SE
Cairo, GA 39828-3142
Phone
(229) 377-1150
NPI assigned
Nov 22, 2006
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
GRADY GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Greg Hembree
Title
Senior VP/Cfo
Phone
(229) 228-2853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 065-413 GA Primary

Addresses

Primary practice location

1155 5TH St SE
Cairo, GA 39828-3142

Mailing address

920 Cairo Rd
Thomasville, GA 31792-4255
Phone (229) 228-8800

Other identifiers 1

IdentifierTypeStateIssuer
000000844SMedicaidGA

Other names 1

  • Grady General Hospital - Swingbed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070626000111 GA Part A Provider - Hospital 7618866518 Practice locations: Cairo, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851466072. Details of each certification follow.

Hospital certification: CCN 11U121

Legal name
GRADY GENERAL HOSPITAL
Doing business as
ARCHBOLD GRADY SWINGBED
Organization structure
OtherNon-profit
Enrollment address
1155 5TH St SE
Cairo, GA 39828-3142
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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).

National Provider Directory

National Provider Directory
Tax ID family
Stephen W Pearce Crna5 organizations share this tax ID, including this one
Part of
Stephen W Pearce Crna

Other organizations with this tax ID 4

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

Locations

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Andrea Kidd Collins Individual Corporate DirectorBoard Member Feb 25, 2025
Craig R Wentworth Individual Corporate DirectorBoard Member Oct 1, 2021
Patricia L Barrett Individual W-2 Managing EmployeeDirector Sep 1, 2006
Carla Pearce Individual W-2 Managing EmployeeChief Accounting Officer Oct 1, 2021
Brian J Szwarc Individual Corporate DirectorBoard Member Oct 1, 2021
Sina E. Griffith Individual Corporate DirectorBoard Member Oct 1, 2021
Jason Odell Burnette Individual Corporate DirectorBoard Member Mar 1, 2025
Josh David Simmons Individual Corporate DirectorBoard Member Jan 1, 2023
John D Archbold Memorial Hospital Inc Organization, Thomasville, GA Operational/Managerial Control Apr 26, 2007
Henry a. Stone Individual Corporate DirectorBoard Member Oct 1, 2021
Timothy Eric Ward Individual Corporate DirectorBoard Member Feb 25, 2025
Karen L Bramblett Individual Corporate DirectorBoard Member Jan 1, 2023
Darcy M Craven Individual W-2 Managing EmployeePresident and Ceo Oct 1, 2021
Joe S Carnline Individual Corporate DirectorBoard Member Jan 1, 2023
Ashley T. Cason Individual Corporate DirectorBoard Member Jan 1, 2023
Christopher L Daniels Individual Corporate DirectorBoard Member Mar 1, 2025
Loren Rials Individual Corporate OfficerSVP/Cfo Aug 18, 2025
W-2 Managing EmployeeSVP/Cfo Aug 18, 2025
Marvin E. Dawson Individual Corporate DirectorBoard Member Jan 1, 2023
William G Hamil Individual Corporate DirectorBoard Member Jan 28, 2023
Jami Porter Individual Corporate DirectorBoard Member Jan 1, 2023
Grady General Hospital Organization, Cairo, GA Non-profit 5% Or Greater Direct Ownership Interest Apr 23, 2014
Gregory Hembree Individual Corporate OfficerSenior Vice President/Cfo Dec 5, 2016
W-2 Managing EmployeeSenior Vice President/Cfo Dec 5, 2016
Jacquelyn V. Santoro Individual Corporate DirectorBoard Member Jan 1, 2023
Jason M Nesmith Individual Corporate DirectorBoard Member Oct 1, 2021

Owners & managing parties with NPI records 16

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

View all 16

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1851466072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255",
            "telephone_number": "229-228-8800",
            "fax_number": "229-228-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283142",
            "telephone_number": "229-377-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRADY GENERAL HOSPITAL",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "HEMBREE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "229-228-2853"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "065-413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000844S",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grady General Hospital - Swingbed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grady General Hospital - Swingbed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.