NPIMap

Organization Active NPI

University McDuffie County Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Thomson, GA
National Provider Identifier
1982600540
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC.
Practice address
2460 Washington Rd
Thomson, GA 30824-6600
Phone
(706) 597-5201
Fax
(706) 597-5139
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Mr. Robert C Cross
Title
VP, Government Reimbursement
Phone
(470) 271-3401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2460 Washington Rd
Thomson, GA 30824-6600

Mailing address

2460 Washington Rd
Thomson, GA 30824-6600
Phone (706) 597-5201

Other identifiers 2

IdentifierTypeStateIssuer
000001185AMedicaidGA
000001185BMedicaidGA

Other names 1

  • Piedmont McDuffie Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120926000635 GA Part A Provider - Hospital 4183873672 Practice locations: Thomson, GA

Hospital certification: CCN 110111

Legal name
UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC.
Doing business as
PIEDMONT MCDUFFIE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 6, 2024
Beds
47
Ownership / control type
Hospital district or authority
Most recent change of ownership
Jul 1, 2012 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 30, 2011 in GA
Enrollment address
2460 Washington Rd
Thomson, GA 30824-6600
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
University McDuffie County Regional Medical CenterCCN 110111
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Univ McDuffie Co Reg Med2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
University Health, Inc Organization, Augusta, GA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2012
David a Belkoski Individual Corporate OfficerTreasurer Jul 1, 2012
W-2 Managing EmployeeTreasurer Jul 1, 2012
Thomas Arnold Individual Corporate OfficerCfo PHC Mar 1, 2022
Charles L Brown Individual Corporate DirectorCeo Piedmont Physicians Mar 1, 2022
Piedmont Healthcare Inc Organization, Atlanta, GA Corporation, Non-profit, Chain home office Operational/Managerial Control Mar 1, 2022
University McDuffie County Regional Medical Center, Inc. Organization, Thomson, GA Operational/Managerial Control Jul 1, 2012
Richmond County Hospital Authority Organization, Augusta, GA 5% Or Greater Indirect Ownership Interest Jul 1, 2012 100%
Robert C Cross Individual Corporate OfficerVP Gov'T Reimb Mar 1, 2022
William Doupe' Individual Corporate DirectorBoard Member Jul 1, 2012
Kevin L Brown Individual Corporate DirectorPresident/Ceo PHC Mar 1, 2022

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Piedmont McDuffie HospitalThomson, GA, CCN 11U111 Hospital Operational/Managerial Control Jul 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 29

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

View all 29

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 222

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

View all 222

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1982600540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 WASHINGTON RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246600",
            "telephone_number": "706-597-5201",
            "fax_number": "706-597-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 WASHINGTON RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246600",
            "telephone_number": "706-597-5201",
            "fax_number": "706-597-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP, GOVERNMENT REIMBURSEMENT",
        "authorized_official_telephone_number": "470-271-3401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001185A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001185B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Piedmont McDuffie Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomson, GA

Sources for this page

Verify at the official NPI Registry.