NPIMap

Organization Active NPI

Irwin County Hospital

Doing business as Irwin General Surgery

  • Surgery Physician
  • Ocilla, GA
National Provider Identifier
1982142956
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
IRWIN COUNTY HOSPITAL
Doing business as
Irwin General Surgery
Practice address
602 N Irwin Ave
Ocilla, GA 31774-5030
Phone
(229) 368-0711
Fax
(229) 368-0714
NPI assigned
Feb 9, 2017
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Krystal Carver
Title
Cfo
Phone
(229) 468-3846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

602 N Irwin Ave
Ocilla, GA 31774-5030

Mailing address

602 N Irwin Ave
Ocilla, GA 31774-5030

Other names 1

  • IRWIN GENERAL SURGERY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eusebio J Fernandez8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Interoperability endpoints

  • Direct secure messaging: alan.mcmahan@irwincohosp.gadirect.net

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": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1982142956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N IRWIN AVE",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317745030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N IRWIN AVE",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317745030",
            "telephone_number": "229-368-0711",
            "fax_number": "229-368-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-468-3846"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRWIN GENERAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocilla, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.