Hospital Authority of Valdosta and Lowndes County, Georgia

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

086-696 Issued in GA

Legal business name

HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA

Doing business as

SGMC Lanier Campus

Practice address

116 W Thigpen Ave
Lakeland, GA 31635-1011

Phone

(229) 482-8401

Fax

(229) 482-8539

NPI assigned

Mar 10, 2014

Last updated

Aug 22, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIAAs reported in NPPES

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

Authorized official

Name

Mrs. Julie Hodges

Title

Controller

Phone

(229) 259-4140

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SGMC Lanier Campus Doing business as

Part of

Southe Georgia Medical

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hospital Authority of Valdosta and Lowndes County, Georgia

  dba SGMC Berrien Campus

  • Psychiatric Hospital Unit
  • Nashville, GA
  • NPI 1174864417

  Member Of

  NPD member

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1932525383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316030009",
            "telephone_number": "229-482-8401",
            "fax_number": "229-482-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W THIGPEN AVE",
            "city": "LAKELAND",
            "state": "GA",
            "postal_code": "316351011",
            "telephone_number": "229-482-8401",
            "fax_number": "229-482-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA",
        "enumeration_date": "2014-03-10",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "229-259-4140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "086-696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001163H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SGMC Lanier Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SGMC Lanier Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Bruce Herrington, M.D.
• Kelly Hodge, LCSW
• Hospital Authority of Valdosta and Lowndes County Georgia (SGMC Lakeland Villa)
• Hospital Authority of Valdosta and Lowndes County, Georgia (SGMC Lanier Campus)
• Hospital Authority of Valdosta and Lowndes County, Georgia (SGMC Lakeland Villa)
• Kirsten Danielle Howell, DMD
• Ida Mae Hublein
• Leigh Arlene Johnson, LMT, NMT
• Jessica Nicole Keeffe, PHARMD
• Lakeland Drug Co (Lakeland Drug Company)

• Medicare Defined Swing Bed Hospital Unit in Lakeland, GA
• Providers in Lakeland, GA by specialty
• Medicare Defined Swing Bed Hospital Unit in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.