SOUTH GEORGIA MEDICAL CENTER INC; NPI #1215703632

Contact Information

SOUTH GEORGIA MEDICAL CENTER INC

116 W THIGPEN AVE
LAKELAND, GA 31635-1011

Phone: 229-433-8440
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Critical Access	282NC0060X	A0[7]	Critical Access Hospital
Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for SOUTH GEORGIA MEDICAL CENTER INC

NPI #	`1215703632`
LBN Legal business name	SOUTH GEORGIA MEDICAL CENTER INC
Authorized official	OLAF FAESKORN - (VP REVENUE CYCLE)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	11/27/2023
Last updated	11/04/2025 - About 7 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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