Liberty Regional Medical Center Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LIBERTY REGIONAL MEDICAL CENTER INC

Doing business as

Liberty Regional Orthopaedics

Practice address

586 Islands Hwy
Midway, GA 31320-5962

Phone

(912) 369-9400

Fax

(912) 877-9438

NPI assigned

Sep 4, 2024

Last updated

Oct 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Rozier

Title

Cfo

Phone

(912) 369-9427

Specialties & licenses 1

Addresses

Other names 1

• Liberty Regional Orthopaedics Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Liberty Regional EMS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Liberty Regional Foundation, Inc.

  dba Liberty Regional EMS

  • Ambulance
  • Hinesville, GA
  • NPI 1376577627
  NPD tax ID

Locations

Practitioners 7

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.

• Matthew Scott Griffith, M.D.

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1093196180

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Matthew Rockwell Roberts, PA-C

  • Physician Assistant
  • Savannah, GA
  • NPI 1477118586
  Medicare reassignment Care Compare group
• Greer E Noonburg, MD

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1417999889
  Medicare reassignment NPD
• Matthew Thomas Sayer

  • Adult Health Nurse Practitioner
  • Savannah, GA
  • NPI 1710650155
  Medicare reassignment NPD
• Catherine Alexandra Allen, MSN, APRN, AGACNP-BC

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1154142180
  Medicare reassignment
• Meghan McKinley Swartzendruber, PA-C

  • Physician Assistant
  • Savannah, GA
  • NPI 1982382529
  Medicare reassignment
• Ted Samaddar, M.D., M.P.H.

  • Surgery Physician
  • Charleston, SC
  • NPI 1992147862

  GA

  Medicare reassignment

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1912732587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 ISLANDS HWY",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313205962",
            "telephone_number": "912-369-9400",
            "fax_number": "912-877-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 ISLANDS HWY",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313205962",
            "telephone_number": "912-369-9400",
            "fax_number": "912-877-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "ROZIER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-369-9427"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Regional Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty Regional Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rollin B Jackson III, DMD
• Gloria Delores Johnson, COTA
• Shonda King, TRICHOLOGY
• Cheryl Elaine Lamb, AMFT
• Liberty Orthopaedic Associates
• Logopedia Services LLC (Logopedia Services)
• Betty Jane Long
• Bethany Lormis, SLP
• Magnolia Manor of Liberty County, Inc. (Magnolia Manor of Midway)
• Sara Collette Masters

• Orthopaedic Surgery Physician in Midway, GA
• Providers in Midway, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.