NPIMap

Organization Active NPI

Meriwether Healthcare, L.L.C.

Doing business as Warm Springs Medical Center

  • Rural Health Clinic/Center
  • Woodbury, GA
National Provider Identifier
1912564618
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MERIWETHER HEALTHCARE, L.L.C.
Doing business as
Warm Springs Medical Center
Practice address
64A Jones Mill Rd
Woodbury, GA 30293-2678
Phone
(706) 553-5367
Fax
(706) 553-5370
NPI assigned
May 29, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Karen Daniel
Title
Ceo
Phone
(706) 655-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

64A Jones Mill Rd
Woodbury, GA 30293-2678

Mailing address

5995 Spring St
Warm Springs, GA 31830-2149
Phone (706) 655-3331

Other names 1

  • WARM SPRINGS MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191011002526 GA Part A Provider - Rural Health Clinic 1850430679 Practice locations: Woodbury, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912564618. Details of each certification follow.

Rural health clinic certification: CCN 118564

Legal name
MERIWETHER HEALTHCARE LLC
Doing business as
WARM SPRING MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 11, 2019
Last certification
Dec 11, 2019
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Jul 1, 1957 in GA
Enrollment address
64A Jones Mill Rd
Woodbury, GA 30293-2678
Related CCNs
111316

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Victor E Lambert Individual Corporate OfficerBoard Member Aug 31, 2019 100%
Corporate DirectorBoard Member Aug 31, 2019 100%
Operational/Managerial ControlBoard Member Aug 31, 2019 100%
Pinnacle Medical, LLC Organization, Newnan, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 30, 2009 5%
Bob M Patterson Individual Corporate OfficerBoard Member Aug 31, 2019 100%
Corporate DirectorBoard Member Aug 31, 2019 100%
Operational/Managerial ControlBoard Member Aug 31, 2019 100%
John Arnold Individual Corporate OfficerBoard Member Aug 31, 2019 100%
Corporate DirectorBoard Member Aug 31, 2019 100%
Operational/Managerial ControlBoard Member Aug 31, 2019 100%
James L Mabon Individual Corporate OfficerBoard Member Aug 31, 2019 100%
Corporate DirectorBoard Member Aug 31, 2019 100%
Operational/Managerial ControlBoard Member Aug 31, 2019 100%
Meriwether Health Properties, Inc Organization, Warm Springs, GA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 30, 2009 95%
Allan W Moore Individual Corporate OfficerBoard Member Aug 31, 2019 100%
Corporate DirectorBoard Member Aug 31, 2019 100%
Operational/Managerial ControlBoard Member Aug 31, 2019 100%
Ho Nien Lin Individual Corporate OfficerBoard Member Aug 31, 2019 100%
Corporate DirectorBoard Member Aug 31, 2019 100%
Operational/Managerial ControlBoard Member Aug 31, 2019 100%
Karen Daniel Individual Corporate OfficerCeo Aug 30, 2019 100%
Corporate DirectorCeo Aug 31, 2019 100%
W-2 Managing EmployeeCeo Aug 31, 2019 100%
Operational/Managerial ControlCeo Aug 30, 2019 100%

Owners & managing parties with NPI records 4

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1912564618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SPRING ST",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302149",
            "telephone_number": "706-655-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64A JONES MILL RD",
            "city": "WOODBURY",
            "state": "GA",
            "postal_code": "302932678",
            "telephone_number": "706-553-5367",
            "fax_number": "706-553-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIWETHER HEALTHCARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-655-3331"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARM SPRINGS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WARM SPRINGS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, GA

Sources for this page

Verify at the official NPI Registry.