Active NPI
The Baxley and Appling County Hospital Authority
- Internal Medicine Physician
- Baxley, GA
National Provider Identifier
1972947752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY
- Practice address
- 163 E Tollison St
Baxley, GA 31513-0120 - Phone
- (912) 366-6600
- Fax
- (912) 367-7841
- NPI assigned
- Apr 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Pierce
- Title
- Ceo
- Phone
- (912) 367-9841
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
163 E Tollison St
Baxley, GA 31513-0120
Mailing address
PO Box 2070
Baxley, GA 31515-2070
Phone (912) 367-9841
Other names 1
- APPLING PHYSICIANS GROUP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040108000489 | GA | Part B Supplier - Clinic/Group Practice | 8426957325 |
Receives reassigned benefits from 15 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baxley, GA |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Surgery Physician
- Baxley, GA
- NPI 1376897488
O20040108000489
-
- Pediatrics Physician
- Baxley, GA
- NPI 1437538501
O20040108000489
-
- General Practice Physician
- Baxley, GA
- NPI 1518967116
O20040108000489
-
- Rural Health Clinic/Center
- Baxley, GA
- NPI 1629217799
O20040108000489
-
- Family Nurse Practitioner
- Baxley, GA
- NPI 1891149100
O20040108000489
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658275200000",
"number": "1972947752",
"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": "912-367-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 E TOLLISON ST",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315130120",
"telephone_number": "912-366-6600",
"fax_number": "912-367-7841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-23",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A",
"authorized_official_last_name": "PIERCE",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "912-367-9841"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "APPLING PHYSICIANS GROUP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "APPLING PHYSICIANS GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baxley, GA
- The Baxley and Appling County Hospital Authority
- The Baxley and Appling County Hospital Authority
- The Baxley and Appling County Hospital Authority
- The Baxley and Appling County Hospital Authority
- The Baxley and Appling County Hospital Authority
- The Baxley Appling County Hospital Authority
- The Baxley-Appling County Hospital Authority
- Brenda M. Thompson, FNP
- Three Rivers EMS LLC
- Logan Brooke Tillman, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.