MITCHELL CONVALESCENT CENTER
NPI 1003903022
Skilled Nursing Facility in Camilla, GA

Active since October 10, 2006CLIA 11D2191979 · Waiver
37 S ELLIS ST, CAMILLA, GA 31730(229) 336-8377 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mitchell Convalescent Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHELL CONVALESCENT CENTER (NPI 1003903022) is a healthcare organization registered as a skilled nursing facility in Camilla, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Gregory S. Hembree, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003903022
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHOSPITAL AUTHORITY OF MITCHELL COUNTY
Location Address37 S ELLIS STCamilla, GA 31730-1812
Mailing Address920 Cairo RdThomasville, GA 31792-4255 · (229) 228-8800 · Fax (229) 228-8892
Organization SubpartNo
Authorized OfficialGregory S. HembreeCfo · (229) 228-2880
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 25, 2019
NPI 1003903022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in GA · 1-101-125
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

37 S ELLIS ST, Camilla, GA 31730

Other Names 1

Doing Business AsMitchell Convalescent Center

Other Identifiers 1

Medicaid000142018AGA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2191979

Mitchell Convalescent Center · Camilla, GA
Active · expires Sep 2, 2026
CLIA Number11D2191979
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorDr. Savitri Ramdial
Laboratory Phone(229) 336-4721
Laboratory LocationMitchell Convalescent Center37 S Ellis Street, Camilla, GA 31730
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
37 S ELLIS ST
CAMILLA, GA 31730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hospital Authority Of Mitchell County's NPI number?

The NPI number for Hospital Authority Of Mitchell County is 1003903022. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Mitchell Convalescent Center.

Where is Hospital Authority Of Mitchell County located?

Hospital Authority Of Mitchell County is located at 37 S Ellis St, Camilla, GA 31730. The listed phone number is (229) 336-8377.

What is Hospital Authority Of Mitchell County's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Hospital Authority Of Mitchell County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2191979) is associated with this NPI, valid through September 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hospital Authority Of Mitchell County accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Hospital Authority Of Mitchell County as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hospital Authority Of Mitchell County was last updated on April 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.