LIBERTY REGIONAL MEDICAL CENTER-WALK-IN CLINIC
NPI 1063903011
Clinic/Center in Hinesville, GA
About Liberty Regional Medical Center-walk-in Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY REGIONAL MEDICAL CENTER-WALK-IN CLINIC (NPI 1063903011) is a healthcare organization registered as a clinic/center in Hinesville, Georgia and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Michael S Hester, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liberty Regional Medical Center-walk-in Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Liberty Regional Medical Center-Walk-In Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 24Hinesville, GA 31313
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11D0860841
Liberty Regional Medical Center · Hinesville, GAFrequently 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 Liberty County's NPI number?
The NPI number for Hospital Authority Of Liberty County is 1063903011. It was assigned to this organization in the NPPES registry on May 25, 2018. The provider is doing business as Liberty Regional Medical Center-Walk-In Clinic.
Where is Hospital Authority Of Liberty County located?
Hospital Authority Of Liberty County is located at 462 Elma G Miles Pkwy, Hinesville, GA 31313. The listed phone number is (912) 369-9310.
What is Hospital Authority Of Liberty County's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Hospital Authority Of Liberty County enrolled in Medicare?
Yes. Hospital Authority Of Liberty County is registered in the Medicare PECOS enrollment system.
When is Hospital Authority Of Liberty County's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hospital Authority Of Liberty County?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 7 Medicare specialties reassign their Medicare billing to Hospital Authority Of Liberty County. 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 (11), Obstetrics/Gynecology (6) and General Surgery (2). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hospital Authority Of Liberty County hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0860841) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hospital Authority Of Liberty County accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hospital Authority Of Liberty 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 Liberty County was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Liberty Regional Medical Center-Walk-In Clinic · NPI 1063903011
Clinic/Center organization in Hinesville, Georgia. Organization record, active in the CMS NPPES registry since May 25, 2018.
## Identity
- **NPI:** 1063903011 (Entity type: Organization)
- **Enumerated:** May 25, 2018
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Hospital Authority Of Liberty County
- **Organization subpart:** No
- **Authorized official:** Michael Hester, CEO
## Practice location
- **Address:** 462 ELMA G MILES PKWY, Hinesville, GA 31313-4000
- **Phone:** (912) 369-9310 · **Fax:** (912) 877-3102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 24 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Obstetrics/Gynecology (6), General Surgery (2); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1063903011/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063903011) · Data from the CMS NPPES public registry.