JEFF DAVIS BEHAVIORAL HEALTH SERVICES
NPI 1023593498
Psychiatric Unit in Hazlehurst, GA

Active since October 01, 2018
163 S TALLAHASSEE ST, HAZLEHURST, GA 31539(912) 375-7781(912) 375-4881 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2021, Oct 1, 2018 (2 updates tracked since 2018).

About Jeff Davis Behavioral Health Services NPPES

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

JEFF DAVIS BEHAVIORAL HEALTH SERVICES (NPI 1023593498) is a healthcare organization registered as a psychiatric unit in Hazlehurst, Georgia and active in the NPI registry since October 2018. The organization lists Barry Bloom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023593498
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameHOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
Location Address163 S TALLAHASSEE STHazlehurst, GA 31539-6465
Mailing Address163 S Tallahassee StHazlehurst, GA 31539-6465 · (912) 375-7781 · Fax (912) 375-4881
Fax(912) 375-4881
Organization SubpartNo
Authorized OfficialBarry BloomCeo · (912) 375-7781
Enumeration DateOctober 1, 2018
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1023593498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
163 S TALLAHASSEE ST, Hazlehurst, GA 31539

Other Names 1

Doing Business AsJeff Davis Behavioral Health Services

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeff Davis Behavioral Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Jeff Davis Behavioral Health Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner18
Certified Registered Nurse Anesthetist (CRNA)4
Psychiatry3
Family Practice2
General Surgery1
Mental Health Counselor1

Nearest to this location (20)

See all 29
Nurse Practitioner
NPI 1053095547
163 S TALLAHASSEE ST
Hazlehurst, GA 31539
(912) 699-6447
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043297898
163 S TALLAHASSEE ST
Hazlehurst, GA 31539
(912) 375-7781
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942914957
9 HESTER ST
Hazlehurst, GA 31539
(912) 375-0418
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1104036359
11 CROSS ST
Hazlehurst, GA 31539
(912) 699-6530
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1235361015
22 CROSS STREET
Hazlehurst, GA 31539
(912) 375-4884
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1003304981
15 YARBROUGH ST
Hazlehurst, GA 31539
(912) 375-0755
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1023536646
15 YARBROUGH ST
Hazlehurst, GA 31539
(912) 375-0755
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1316319692
9 HESTER ST
Hazlehurst, GA 31539
(912) 375-0418
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1093490351
163 S TALLAHASSEE ST
Hazlehurst, GA 31539
(912) 699-6441
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1538868989
163 S TALLAHASSEE ST
Hazlehurst, GA 31539
(912) 375-7781
✔ PECOS1.7 mi
Psychiatry
NPI 1194210021
163 S TALLAHASSEE ST
Hazlehurst, GA 31539
(912) 375-7781
✔ PECOS✔ Accepts Medicare1.7 mi
Mental Health Counselor
NPI 1225637606
14 MACEDONIA CHURCH RD
Mc Rae, GA 31055
(229) 315-0222
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1275210510
2069 KINNETT RD
Milan, GA 31060
(229) 860-0568
✔ PECOS✔ Accepts Medicare25 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619933975
1101 OCILLA RD
Douglas, GA 31533
(800) 232-5703
✔ Accepts Medicare28 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912956939
247 S MAIN ST
Reidsville, GA 30453
(912) 557-1000
33 mi
Nurse Practitioner
NPI 1235595604
3950 GA HIGHWAY 64 E
Axson, GA 31624
(912) 592-3152
✔ PECOS34 mi
Nurse Practitioner
NPI 1073020228
710 N IRWIN AVE
Ocilla, GA 31774
(229) 468-3800
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1538604368
6205 FOX RUN CIR
Blackshear, GA 31516
(912) 670-0808
✔ PECOS46 mi
Nurse Practitioner
NPI 1134505118
1900 TEBEAU ST
Waycross, GA 31501
(912) 338-6338
✔ PECOS46 mi
Psychiatry
NPI 1801915871
2415 PARKWOOD DR
Brunswick, GA 31520
(912) 466-2495
✔ PECOS✔ Accepts Medicare81 mi
See all 29 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jeff Davis County Georgia's NPI number?

The NPI number for Hospital Authority Of Jeff Davis County Georgia is 1023593498. It was assigned to this organization in the NPPES registry on October 1, 2018. The provider is doing business as Jeff Davis Behavioral Health Services.

Where is Hospital Authority Of Jeff Davis County Georgia located?

Hospital Authority Of Jeff Davis County Georgia is located at 163 S Tallahassee St, Hazlehurst, GA 31539. The listed phone number is (912) 375-7781.

What is Hospital Authority Of Jeff Davis County Georgia's specialty?

The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.

Is Hospital Authority Of Jeff Davis County Georgia enrolled in Medicare?

Yes. Hospital Authority Of Jeff Davis County Georgia is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hospital Authority Of Jeff Davis County Georgia?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 6 Medicare specialties reassign their Medicare billing to Hospital Authority Of Jeff Davis County Georgia. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (18), Certified Registered Nurse Anesthetist (CRNA) (4) and Psychiatry (3). Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hospital Authority Of Jeff Davis County Georgia 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 Jeff Davis County Georgia 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 Jeff Davis County Georgia was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.