NPIMap

Organization Active NPI

The Baxley Appling County Hospital Authority

  • Family Medicine Physician
  • Surrencey, GA
National Provider Identifier
1942701248
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE BAXLEY APPLING COUNTY HOSPITAL AUTHORITY
Practice address
40 Wildes Street
Surrencey, GA 31513
Phone
(912) 367-9841
NPI assigned
Feb 22, 2018
Last updated
Feb 22, 2018By 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 Feb 22, 2018

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

Authorized official

Name
Linda C Fausett
Title
Manager
Phone
(912) 367-9841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

40 Wildes Street
Surrencey, GA 31513

Mailing address

163 E Tollison St
Baxley, GA 31513-0120

National Provider Directory

National Provider Directory
Tax ID family
The Baxley Appling Co18 organizations share this tax ID, including this one
Part of
The Baxley Appling Co

Other organizations with this tax ID 17

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

View all 17

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1942701248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 E TOLLISON ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WILDES STREET",
            "city": "SURRENCEY",
            "state": "GA",
            "postal_code": "31513",
            "telephone_number": "912-367-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAXLEY APPLING COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "FAUSETT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-367-9841"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.