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WAYNE MEMORIAL HOSPITAL
NPI 1205035771
Medicare Defined Swing Bed Unit in Jesup, GA

Active since July 16, 2007CLIA 11D0265394 · Accreditation
865 S 1ST ST, JESUP, GA 31545(912) 427-6811(912) 530-3140 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wayne Memorial Hospital NPPES

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

WAYNE MEMORIAL HOSPITAL (NPI 1205035771) is a healthcare organization registered as a medicare defined swing bed unit in Jesup, Georgia and active in the NPI registry since July 2007. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Joseph P Ierardi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205035771
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameHOSPITAL AUTHORITY OF WAYNE COUNTY, GEORGIA
Location Address865 S 1ST STJesup, GA 31545-0210
Mailing Address865 S 1st StJesup, GA 31545-0210 · (912) 427-6811 · Fax (912) 530-3140
Phone(912) 427-6811
Fax(912) 530-3140
Organization SubpartYesParent: Hospital Authority Of Wayne County
Authorized OfficialJoseph P IerardiAdministrator · (912) 530-3302
Enumeration DateJuly 16, 2007
Last NPPES UpdateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1205035771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
865 S 1ST ST, Jesup, GA 31545
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Other Names 1

Doing Business AsWayne Memorial Hospital

Other Identifiers 1

Medicaid00002054AGA

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 11D0265394

Wayne Memorial Hospital · Jesup, GA
Active · expires Jan 2, 2027
CLIA Number11D0265394
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorTimothy Mcintire Fcap
Laboratory Phone(912) 427-6811
Laboratory LocationWayne Memorial Hospital865 South First Street, Jesup, GA 31545
CLIA data matches this NPI record on: Name Phone
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 20

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

SOUTHEASTERN PATHOLOGY ASSOCIATES AT WAYNE MEMORIAL INC
Pathology (Anatomic Pathology)
865 S 1ST ST
JESUP, GA 31545
Wayne County (912) 261-2669
ROBERT STUART DIAMANT M.D.
Anesthesiology
865 S 1ST ST
JESUP, GA 31545
Wayne County (912) 427-6811
ELISHA MARCHETTE DANSBY ARNP
Nurse Practitioner
865 S 1ST ST
JESUP, GA 31545
Wayne County (912) 530-3176
MR. JACKSON ALEXANDER HARBIN PA-C
Emergency Medicine (Emergency Medical Services)
865 S 1ST ST
JESUP, GA 31545
Wayne County (912) 530-3395
TERESA DIANNE HUTSON CRNA
Nurse Anesthetist, Certified Registered
865 S 1ST ST
JESUP, GA 31545
Wayne County (912) 427-6811
BETH A LEWIS FNP-C
Nurse Practitioner (Family)
865 S 1ST ST
JESUP, GA 31545
Wayne County (912) 530-3178
MRS. HANNAH CARTERS ROBERTS PA-C
Physician Assistant
865 S 1ST ST
JESUP, GA 31545
Wayne County (912) 427-6811
HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIA
Hospitalist
865 S 1ST ST
JESUP, GA 31545
Wayne County (912) 427-6811

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 Wayne County, Georgia's NPI number?

The NPI number for Hospital Authority Of Wayne County, Georgia is 1205035771. It was assigned to this organization in the NPPES registry on July 16, 2007. The provider is doing business as Wayne Memorial Hospital.

Where is Hospital Authority Of Wayne County, Georgia located?

Hospital Authority Of Wayne County, Georgia is located at 865 S 1st St, Jesup, GA 31545. The listed phone number is (912) 427-6811.

What is Hospital Authority Of Wayne County, Georgia's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Hospital Authority Of Wayne County, Georgia hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D0265394) is associated with this NPI, valid through January 2, 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 Wayne County, Georgia was last updated on May 18, 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.