John D. Archbold Memorial Hospital, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

ESRD001128 Issued in GA

Legal business name

JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.

Doing business as

Grady County Dialysis Facility

Practice address

1182 5TH St SE
Cairo, GA 39828-3141

Phone

(229) 377-9606

Fax

(229) 377-8804

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gregory S. Hembree

Title

Cfo

Phone

(229) 228-2880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grady County Dialysis Facility Doing business as

Member of 1

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

• John D. Archbold Memorial Hospital, Inc.

  dba Glenn-Mor Nursing Home

  • Skilled Nursing Facility
  • Thomasville, GA
  • NPI 1508806142

  Member Of

  NPD member

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1962433912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255",
            "telephone_number": "229-228-8800",
            "fax_number": "229-228-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283141",
            "telephone_number": "229-377-9606",
            "fax_number": "229-377-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "HEMBREE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-228-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": "ESRD001128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000710322A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grady County Dialysis Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J. H. Harvey Co., LLC (Harveys Supermarket Pharmacy #2399)
• Morgan Charlotte Jackson
• James K Hester MD PA
• Jennifer W. Kendrick DMD, LLC (Dental Associates of Southwest Georgia)
• John D. Archbold Memorial Hospital, Inc. (Archbold - Grady Specialty Clinic)
• Chandra A Johnson, LCSW
• Guy Johnson III, D.C.
• Kimberely Dawn Johnson, APRN, FNP-C
• Luisa Johnson, APRN
• Shenkia Isadora Johnson, LPN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cairo, GA
• Providers in Cairo, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.