NPIMap

Organization Active NPI

The Baxley and Appling County Hospital Authority

Doing business as Appling Womens Health and Wellness Center

  • Gynecology Physician
  • Baxley, GA
National Provider Identifier
1942654520
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY
Doing business as
Appling Womens Health and Wellness Center
Practice address
654 S Main St
Baxley, GA 31513-0124
Phone
(912) 367-9841
Fax
(912) 367-1272
NPI assigned
Apr 20, 2016
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Mr. Raymond J Leadbetter Jr.
Title
Ceo
Phone
(912) 367-9841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

654 S Main St
Baxley, GA 31513-0124

Mailing address

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

Other names 1

  • Appling Womens Health and Wellness Center Doing business as

National Provider Directory

National Provider Directory
Part of
The Baxley Appling Co

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1942654520",
    "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": "654 S MAIN ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130124",
            "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": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "LEADBETTER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "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": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appling Womens Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.