NPIMap

Organization Active NPI

Wellstar Spalding Regional Hospital, Inc

Doing business as WellStar Spalding Regional Hospital

  • General Acute Care Hospital
  • Griffin, GA
National Provider Identifier
1972535318
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11-0031 Issued in GA
Legal business name
WELLSTAR SPALDING REGIONAL HOSPITAL, INC
Doing business as
WellStar Spalding Regional Hospital
Practice address
601 S 8TH St
Griffin, GA 30224-4213
Phone
(770) 228-2721
NPI assigned
Jul 7, 2006
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Mr. Anthony J Budzinski
Title
Evp & Chief Financial Officer
Phone
(470) 644-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11-0031 GA Primary

Addresses

Primary practice location

601 S 8TH St
Griffin, GA 30224-4213

Mailing address

1800 Parkway PL SE Ste 500
Marietta, GA 30067-8237
Phone (470) 956-4981

Other identifiers 6

IdentifierTypeStateIssuer
1707929MedicaidLA
7975OtherCOVENTRY HEALTH CARE GEOR
048097480OtherAETNA US HEALTHCARE
07606293MedicaidMS
00000866AMedicaidGA
100033OtherBCBS OF GEORGIA

Other names 1

  • WellStar Spalding Regional Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160511002753 GA Part A Provider - Hospital 7517256779 Practice locations: Barnesville, GA; Griffin, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972535318. Details of each certification follow.

Hospital certification: CCN 110031

Legal name
WELLSTAR SPALDING REGIONAL HOSPITAL INC
Doing business as
WELLSTAR SPALDING REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 3, 2025
Beds
160
Ownership / control type
Private (not for profit)
Most recent change of ownership
Apr 1, 2016 (3 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 14, 2015 in GA
Enrollment address
601 S 8TH St
Griffin, GA 30224-4213
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Wellstar Spalding Medical CenterCCN 110031 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0257365Wellstar Spalding Regional Hospital Laboratory601 South 8TH Street Attn Laboratory, Griffin, GA 30224AccreditationJan 2, 2027

National Provider Directory

National Provider Directory

Locations

702 Veterans Pkwy
Apt A
Barnesville, GA 30204
Phone (770) 358-0715

223 W College St
#B
Griffin, GA 30224
Phone (770) 467-6150

604A S 8th St
Griffin, GA 30224
Phone (770) 227-1999

747 S 8th St
Ste D
Griffin, GA 30224
Phone (470) 935-5560

1325 Highway 19 N
Slp Lab
Thomaston, GA 30286
Phone (706) 938-0788

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William C Brock Individual Corporate DirectorBoard Member Apr 1, 2016 5%
Heather Graham Individual Corporate DirectorBoard Member Sep 1, 2025 5%
Joseph a Reppert Individual Corporate OfficerSVP and Interim Cfo Apr 4, 2024 100%
W-2 Managing EmployeeSVP and Interim Cfo Aug 3, 2020 100%
Orrin S Swayze Individual Corporate DirectorBoard Member Apr 1, 2016 5%
John C McKibben Individual Corporate DirectorBoard Member Aug 1, 2019 5%
Keith Parker Individual Corporate DirectorBoard Member Jul 1, 2023 5%
Paul Lawrence Douglass Individual Corporate DirectorBoard Member Aug 22, 2016 5%
Mitzi Moore Individual Corporate DirectorBoard Member Apr 1, 2016 5%
Wellstar Health System Inc Organization, Marietta, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2016 100%
Gretchen Corbin Individual Corporate DirectorBoard Member Oct 3, 2024 5%
John Kerndl Individual Corporate OfficerEvp & Cfo Feb 17, 2025 100%
W-2 Managing EmployeeEvp & Cfo Feb 17, 2025 100%
James Glen Cunningham Individual Corporate DirectorBoard Member Mar 4, 2021 5%
Ebenezer Erzuah Individual W-2 Managing EmployeeExec Director of Reimbursement Apr 1, 2015 100%
Mark Berry Individual Corporate DirectorBoard Member Oct 7, 2021 5%
James Holmes Individual Corporate DirectorBoard Member Apr 4, 2016 5%
Greg Morgan Individual Corporate DirectorBoard Member Apr 1, 2016 5%
James L Hornsby Individual Corporate DirectorBoard Member Jul 1, 2018 5%
Edward Richardson Individual Corporate DirectorBoard Member Apr 4, 2019 5%
David Bottoms Individual Corporate DirectorBoard Member Feb 2, 2023 5%
Frank Ros Individual Corporate DirectorBoard Member Apr 1, 2016 5%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

Affiliated clinicians 258

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 258

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1972535318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PARKWAY PL SE STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678237",
            "telephone_number": "470-956-4981",
            "fax_number": "770-999-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244213",
            "telephone_number": "770-228-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR SPALDING REGIONAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "BUDZINSKI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EVP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "470-644-0012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "11-0031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1707929",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE GEOR",
            "identifier": "7975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "048097480",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07606293",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000866A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA",
            "identifier": "100033",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WellStar Spalding Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellStar Spalding Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.