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MITCHELL COUNTY HOSPITAL - VRADTN
NPI 1104270727
Radiology - Diagnostic Radiology in Camilla, GA

Active since April 20, 2016CLIA 11D0266044 · Accreditation
90 E STEPHENS ST, CAMILLA, GA 31730(229) 336-5284 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitchell County Hospital - Vradtn NPPES

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

MITCHELL COUNTY HOSPITAL - VRADTN (NPI 1104270727) is a healthcare organization registered as a diagnostic radiology in Camilla, Georgia and active in the NPI registry since April 2016. The organization holds an CLIA Accreditation certificate valid through November 30, 2027 and lists Gregory S. Hembree, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1104270727
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameHOSPITAL AUTHORITY OF MITCHELL COUNTY
Location Address90 E STEPHENS STCamilla, GA 31730
Mailing Address920 Cairo RdThomasville, GA 31792-4255 · (229) 228-8800 · Fax (229) 228-8892
Phone(229) 336-5284
Organization SubpartNo
Authorized OfficialGregory S. HembreeSenior Vice President · (229) 228-2880
Enumeration DateApril 20, 2016
Last NPPES UpdateAugust 29, 2018
✔ NPI 1104270727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
90 E STEPHENS ST, Camilla, GA 31730
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Other Names 1

Doing Business AsMitchell County Hospital - Vradtn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Accreditation 11D0266044

Mitchell County Hospital Laboratory · Camilla, GA
Active · expires Nov 30, 2027
CLIA Number11D0266044
Laboratory TypeHospital
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Seth J. Bilello
Laboratory Phone(912) 336-5284
Laboratory LocationMitchell County Hospital Laboratory90 East Stephens Street, Camilla, GA 31730
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 13

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

MR. BARRY T LEATH CRNA
Nurse Anesthetist, Certified Registered
90 E STEPHENS ST
CAMILLA, GA 31730
Mitchell County (229) 336-4621
ASHLEY ABT PA
Nurse Practitioner (Family)
90 E STEPHENS ST
CAMILLA, GA 31730
Mitchell County (229) 336-4600
ASHLEY NICOLE MAXWELL OTR/L
Occupational Therapist
90 E STEPHENS ST
CAMILLA, GA 31730
Mitchell County (229) 336-4619
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Radiology (Diagnostic Radiology)
90 E STEPHENS ST
CAMILLA, GA 31730
Mitchell County (229) 336-5284
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Medicare Defined Swing Bed Unit
90 E STEPHENS ST
CAMILLA, GA 31730
Mitchell County (229) 336-5284
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Clinical Medical Laboratory
90 E STEPHENS ST
CAMILLA, GA 31730
Mitchell County (229) 336-5284
HOSPITAL AUTHORITY OF MITCHELL COUNTY
General Acute Care Hospital (Critical Access)
90 E STEPHENS ST
CAMILLA, GA 31730
Mitchell County (229) 336-5284
CARLY MCCOOK SLP
Speech-Language Pathologist
90 E STEPHENS ST
CAMILLA, GA 31730
Mitchell County (229) 336-5284

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 1104270727. It was assigned to this organization in the NPPES registry on April 20, 2016. The provider is doing business as Mitchell County Hospital - Vradtn.

Where is Hospital Authority Of Mitchell County located?

Hospital Authority Of Mitchell County is located at 90 E Stephens St, Camilla, GA 31730. The listed phone number is (229) 336-5284.

What is Hospital Authority Of Mitchell County's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

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

Yes. A Certificate of Accreditation (number 11D0266044) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hospital Authority Of Mitchell County was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.