The Baxley and Appling County Hospital Authority

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN116307 Issued in GA

Legal business name

THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY

Doing business as

Southern Peaches A Division of Appling HealthCare System

Practice address

507 Fair St
Baxley, GA 31513-0112

Phone

(912) 367-9841

Fax

(912) 367-1272

NPI assigned

Apr 22, 2016

Last updated

May 16, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITYAs reported in NPPES

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

Authorized official

Name

Mr. Raymond James Leadbetter Jr.

Title

Ceo

Phone

(912) 367-9841

Specialties & licenses 1

Addresses

Other names 1

• Southern Peaches A Division of Appling HealthCare System Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• The Baxley and Appling County Hospital Authority

  dba Appling Surgical

  • Surgery Physician
  • Baxley, GA
  • NPI 1376897488

  O20040108000489

  Same enrollment
• The Baxley and Appling County Hospital Authority

  dba Appling Medical Group

  • Pediatrics Physician
  • Baxley, GA
  • NPI 1437538501

  O20040108000489

  Same enrollment
• The Baxley and Appling County Hospital Authority

  dba Appling Medical Group

  • General Practice Physician
  • Baxley, GA
  • NPI 1518967116

  O20040108000489

  Same enrollment
• The Baxley and Appling County Hospital Authority

  dba Appling Obstetrics and Gynecology

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1629217799

  O20040108000489

  Same enrollment
• The Baxley and Appling County Hospital Authority

  dba Appling Physicians Group

  • Internal Medicine Physician
  • Baxley, GA
  • NPI 1972947752

  O20040108000489

  Same enrollment

Part of

The Baxley Appling Co

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.

• Keena McNease White

  • Family Nurse Practitioner
  • Baxley, GA
  • NPI 1710445374
  NPD

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1891149100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 FAIR ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130112",
            "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": "507 FAIR ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130112",
            "telephone_number": "912-367-9841",
            "fax_number": "912-367-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "LEADBETTER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-367-9841",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN116307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Peaches A Division of Appling HealthCare System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Baxley and Appling County Hospital Authority (Appling Neurology)
• The Baxley and Appling County Hospital Authority (Appling Healthcare System)
• The Baxley and Appling County Hospital Authority (Appling Pediatrics)
• The Baxley and Appling County Hospital Authority (Appling Nursing and Rehabilitation Pavilion)
• The Baxley and Appling County Hospital Authority (appling healthcare system)
• The Baxley and Appling County Hospital Authority (Appling Family Practice)
• The Baxley and Appling County Hospital Authority (Appling Womens Health and Wellness Center)
• The Baxley and Appling County Hospital Authority (Appling Physicians Group)
• The Baxley Appling County Hospital Authority (Appling Nursing Home)
• The Baxley-Appling County Hospital Authority (Appling Convalescent Center)

• Family Nurse Practitioner in Baxley, GA
• Providers in Baxley, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.