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LIBERTY REGIONAL MEDICAL ASSOCIATES PRIMARY CARE-MIDWAY CAMPUS
NPI 1093214041
General Practice in Midway, GA

Active since February 06, 2018CLIA 11D2148558 · Waiver
586 ISLANDS HIGHWAY, MIDWAY, GA 31320 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Liberty Regional Medical Associates Primary Care-midway Campus NPPES

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

LIBERTY REGIONAL MEDICAL ASSOCIATES PRIMARY CARE-MIDWAY CAMPUS (NPI 1093214041) is a healthcare organization registered as a general practice in Midway, Georgia and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Derek Rozier, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093214041
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHOSPITAL AUTHORITY OF LIBERTY COUNTY
Location Address586 ISLANDS HIGHWAYMidway, GA 31320
Mailing AddressPo Box 919Hinesville, GA 31314
Organization SubpartNo
Authorized OfficialDerek RozierCfo · (912) 369-9427
Enumeration DateFebruary 6, 2018
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1093214041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

586 ISLANDS HIGHWAY, Midway, GA 31320
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Other Names 1

Doing Business AsLiberty Regional Medical Associates Primary Care-midway Campus

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 11D2148558

Liberty Regional Medical Assoc - Midway Campus · Midway, GA
Active · expires May 14, 2028
CLIA Number11D2148558
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorCalin G. Badea
Laboratory Phone(912) 876-5614
Laboratory LocationLiberty Regional Medical Assoc - Midway Campus586 Islands Highway, Midway, GA 31320
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LIBERTY ORTHOPAEDIC ASSOCIATES
Orthopaedic Surgery
586 ISLANDS HIGHWAY
MIDWAY, GA 31320
Liberty County (912) 396-7050
TRAIANA DACIANA PACURAR M.D.
Internal Medicine (Adolescent Medicine)
586 ISLANDS HIGHWAY
MIDWAY, GA 31320
Liberty County (912) 396-7050

Frequently Asked Questions

What is HOSPITAL AUTHORITY OF LIBERTY COUNTY's NPI number?

The NPI number assigned to this healthcare provider is 1093214041, enumerated as an "organization" on February 06, 2018.

Where is the provider located?

The provider is located at 586 ISLANDS HIGHWAY MIDWAY, GA 31320 and the phone number is .

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.

What insurance does HOSPITAL AUTHORITY OF LIBERTY COUNTY accept?

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.