CLINCH COUNTY HOSPITAL AUTHORITY
NPI 1154895969
Clinic/Center - Primary Care in Homerville, GA

Active since January 15, 2019
80 HUXFORD ST, HOMERVILLE, GA 31634(912) 487-5211 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clinch County Hospital Authority NPPES

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

CLINCH COUNTY HOSPITAL AUTHORITY (NPI 1154895969), doing business as Clinch Memorial Family Practice, is a healthcare organization registered as a primary care in Homerville, Georgia and active in the NPI registry since January 2019. The organization lists Cassandra C Hughes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1154895969
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLINCH COUNTY HOSPITAL AUTHORITY
Location Address80 HUXFORD STHomerville, GA 31634-2356
Mailing AddressPo Box 298Homerville, GA 31634-0298 · (912) 487-5211
Organization SubpartYes
Authorized OfficialCassandra C HughesCfo · (912) 487-5211
Enumeration DateJanuary 15, 2019
✔ NPI 1154895969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
80 HUXFORD ST, Homerville, GA 31634

Other Names 1

Doing Business AsClinch Memorial Family Practice

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)

Clinch County Hospital Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

96

Medicare enrollment records show 96 clinicians reassign Medicare billing to Clinch County Hospital Authority, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Diagnostic Radiology50
Emergency Medicine10
Internal Medicine10
Family Practice8
Nurse Practitioner8
Cardiovascular Disease (Cardiology)4
Hospitalist2
Pulmonary Disease2
2 other specialties2

Nearest to this location (20)

See all 96
Clinical Social Worker
NPI 1730052812
80 HUXFORD ST
Homerville, GA 31634
(912) 470-2273
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407219314
80 HUXFORD ST
Homerville, GA 31634
(229) 561-5592
✔ PECOSSame address
Nurse Practitioner
NPI 1861820987
80 HUXFORD ST
Homerville, GA 31634
(912) 470-2273
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1639110687
380 N CHURCH ST
Homerville, GA 31634
(912) 487-1737
✔ PECOS0.2 mi
Family Practice
NPI 1619954112
416 E MCPHERSON AVE STE A
Nashville, GA 31639
(229) 686-2093
✔ PECOS✔ Accepts Medicare32 mi
Diagnostic Radiology
NPI 1013900489
1101 OCILLA RD
Douglas, GA 31533
(912) 384-1900
✔ PECOS✔ Accepts Medicare33 mi
Emergency Medicine
NPI 1528169190
1101 OCILLA RD
Douglas, GA 31533
(912) 384-1900
✔ PECOS33 mi
Diagnostic Radiology
NPI 1053304428
1101 OCILLA RD
Douglas, GA 31533
(912) 384-1900
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1841270139
1101 OCILLA RD
Douglas, GA 31533
(912) 383-5623
✔ PECOS✔ Accepts Medicare33 mi
Cardiovascular Disease (Cardiology)
NPI 1205834181
1305 OCILLA RD
Douglas, GA 31533
(912) 384-0600
✔ PECOS✔ Accepts Medicare33 mi
Cardiovascular Disease (Cardiology)
NPI 1245238211
1305 OCILLA RD
Douglas, GA 31533
(912) 384-0600
✔ PECOS✔ Accepts Medicare33 mi
Cardiovascular Disease (Cardiology)
NPI 1447250220
1400 PETERSON AVE N STE C
Douglas, GA 31533
(912) 384-6276
✔ PECOS✔ Accepts Medicare34 mi
Internal Medicine
NPI 1649432733
3207 COUNTRY CLUB RD
Valdosta, GA 31605
(229) 242-8480
✔ PECOS✔ Accepts Medicare35 mi
Internal Medicine
NPI 1205873700
3314 CHARDON WAY
Valdosta, GA 31602
(229) 244-9250
✔ PECOS35 mi
Family Practice
NPI 1780792911
706 N PARRISH AVE
Adel, GA 31620
(229) 896-8159
✔ PECOS36 mi
Emergency Medicine
NPI 1881612067
3769 BEAR LAKE RD
Valdosta, GA 31601
(706) 244-6888
✔ PECOS✔ Accepts Medicare41 mi
Family Practice
NPI 1972779395
2348 GA HIGHWAY 32 E
Wray, GA 31798
(912) 393-4723
✔ PECOS42 mi
Nurse Practitioner
NPI 1023950888
PO BOX 2758
Lake City, FL 32056
(386) 288-0000
✔ PECOS65 mi
Nurse Practitioner
NPI 1285165043
113 W HANSELL ST
Thomasville, GA 31792
(229) 228-2410
✔ PECOS✔ Accepts Medicare74 mi
Emergency Medicine
NPI 1619028255
100 S MADISON ST
Thomasville, GA 31792
(229) 236-0831
✔ PECOS✔ Accepts Medicare75 mi
See all 96 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 Clinch County Hospital Authority's NPI number?

The NPI number for Clinch County Hospital Authority is 1154895969. It was assigned to this organization in the NPPES registry on January 15, 2019. The provider is doing business as Clinch Memorial Family Practice.

Where is Clinch County Hospital Authority located?

Clinch County Hospital Authority is located at 80 Huxford St, Homerville, GA 31634. The listed phone number is (912) 487-5211.

What is Clinch County Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Clinch County Hospital Authority enrolled in Medicare?

Yes. Clinch County Hospital Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinch County Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 96 clinicians in 10 Medicare specialties reassign their Medicare billing to Clinch County Hospital Authority. 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 Diagnostic Radiology (50), Emergency Medicine (10) and Internal Medicine (10). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clinch County Hospital Authority accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Clinch County Hospital Authority 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 Clinch County Hospital Authority was last updated on January 15, 2019. 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.