NPIMap

Organization Active NPI

The Baxley and Appling County Hospital Authority

Doing business as appling healthcare system

  • General Acute Care Hospital
  • Baxley, GA
National Provider Identifier
1861615304
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
001-502
Legal business name
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY
Doing business as
appling healthcare system
Practice address
163 E Tollison St
Baxley, GA 31513-0120
Phone
(912) 367-9841
Fax
(912) 367-1272
NPI assigned
Apr 11, 2007
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Marie Barnes
Title
Credentialing Coordinator
Phone
(912) 367-9841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 001-502 Primary

Addresses

Primary practice location

163 E Tollison St
Baxley, GA 31513-0120

Mailing address

PO Box 2070
Baxley, GA 31515-2070
Phone (912) 367-9841

Other identifiers 1

IdentifierTypeStateIssuer
00000052AMedicaidGA

Other names 1

  • appling healthcare system Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080807000559 GA Part A Provider - Hospital 8426957325 Practice locations: Baxley, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861615304. Details of each certification follow.

Hospital certification: CCN 110071

Legal name
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY
Doing business as
APPLING HEALTHCARE SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 4, 2024
Beds
49
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
163 E Tollison St
Baxley, GA 31513-0120
Other Hospital Practice Location
Hospital subgroups
Acute care, Swing-bed approved, Psychiatric unit, Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Appling HealthcareCCN 110071 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
The Baxley Appling Co18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Paul E Rentz Individual Corporate DirectorBoard Member Aug 26, 2013
Andrea Pierce Graham Individual Corporate Director Jul 30, 2021
W-2 Managing EmployeeCeo Jul 30, 2021 100%
Operational/Managerial ControlCeo Jul 1, 2021 100%
Cindy Tomberlin Individual Corporate DirectorChair of the Board Jul 1, 2021 100%
The Baxley and Appling County Hospital Authority Organization, Baxley, GA Non-profit Operational/Managerial Control Nov 6, 2007

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Appling Healthcare SystemBaxley, GA, CCN 11S071 Hospital Operational/Managerial Control Nov 6, 2007
Appling Healthcare SystemBaxley, GA, CCN 11U071 Hospital Operational/Managerial Control Nov 6, 2007
Appling Nursing and Rehabilitation PavilionBaxley, GA, CCN 115262 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2000
Jan 1, 2000
Appling PediatricsBaxley, GA, CCN 118521 Rural health clinic 5% Or Greater Direct Ownership Interest Feb 18, 2009
Appling Medical GroupBaxley, GA, CCN 118520 Rural health clinic 5% Or Greater Direct Ownership Interest Feb 18, 2009
South Georgia Medical AssociatesBaxley, GA, CCN 118522 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 18, 2009

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 3

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 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1861615304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315152070",
            "telephone_number": "912-367-9841",
            "fax_number": "912-367-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 E TOLLISON ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130120",
            "telephone_number": "912-367-9841",
            "fax_number": "912-367-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "912-367-9841"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": "001-502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000052A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "appling healthcare system",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "appling healthcare system",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxley, GA

Sources for this page

Verify at the official NPI Registry.