JEFF DAVIS HOSPITAL
NPI 1205229994
Medicare Defined Swing Bed Unit in Hazlehurst, GA

Q: What is Hospital Authority Of Jeff Davis County Georgia's specialty?

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

Active since March 05, 2015CLIA Certified · 2 labs

163 S TALLAHASSEE ST, HAZLEHURST, GA 31539(312) 371-7781(912) 375-4055 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jeff Davis Hospital NPPES

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

JEFF DAVIS HOSPITAL (NPI 1205229994) is a healthcare organization registered as a medicare defined swing bed unit in Hazlehurst, Georgia and active in the NPI registry since March 2015. The organization holds 2 active CLIA laboratory certificates and lists Barry Bloom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205229994

Entity TypeOrganization

Primary Taxonomy275N00000X

Legal Business NameHOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA

Location Address163 S TALLAHASSEE STHazlehurst, GA 31539-6465

Mailing Address163 S Tallahassee StHazlehurst, GA 31539-6465 · (912) 375-7781 · Fax (912) 375-4055

Phone(312) 371-7781

Fax(912) 375-4055

Organization SubpartNo

Authorized OfficialBarry BloomCeo · (912) 375-7781

Enumeration DateMarch 5, 2015

Last NPPES UpdateJune 23, 2021

NPPES CertifiedJune 23, 2021

✔ NPI 1205229994 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.

163 S TALLAHASSEE ST, Hazlehurst, GA 31539

Open in Google Maps ↗

Other Names 1

Doing Business AsJeff Davis Hospital

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 11D0022183

Jeff Davis Hospital · Hazlehurst, GA

Active · expires May 17, 2027

CLIA Number11D0022183

Laboratory TypeHospital

Certificate Effective DateMay 18, 2025

Certificate Expiration DateMay 17, 2027

Laboratory DirectorTimothy Mcintire

Laboratory Phone(912) 375-7781

Laboratory LocationJeff Davis Hospital163 S Tallahassee St, Hazlehurst, GA 31539

CLIA data matches this NPI record on: Address 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.

Certificate of Waiver 11D2317684

Jeff Davis Hospital Ems · Hazlehurst, GA

Active · expires Jan 28, 2027

CLIA Number11D2317684

Laboratory TypeAmbulance

Certificate Effective DateJanuary 29, 2025

Certificate Expiration DateJanuary 28, 2027

Laboratory DirectorKirk Munsayac

Laboratory Phone(912) 375-7781

Laboratory LocationJeff Davis Hospital Ems163 South Tallahasse Street, Hazlehurst, GA 31539

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Jeff Davis Hospital (CMS certification number 111333), from CMS Care Compare.

Jeff Davis Hospital

Critical Access Hospitals · Hazlehurst, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111333

Location163 South Tallahassee StreetHazlehurst, GA 31539 · Jeff Davis County · (912) 375-7781

Emergency services Meaningful use of EHRs

Complications & Deaths 5

Death rate for heart attack patients

Cases too small to report

Death rate for COPD patients

Cases too small to report

Death rate for heart failure patients

Cases too small to report

Death rate for pneumonia patients

19.4% No different than national

Death rate for stroke patients

Cases too small to report

Infections 1

Clostridium Difficile (C.Diff)

1 observed case · 1.292 predicted · 3,278 patient days

0.774 No different than national

Unplanned Hospital Visits 10

Hospital return days for heart attack patients

Cases too small to report

Hospital return days for heart failure patients

Cases too small to report

Hospital return days for pneumonia patients

50 days per 100 discharges

Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)

31 No different than national

Ratio of unplanned hospital visits after hospital outpatient surgery

Cases too small to report

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate

Cases too small to report

Timely & Effective Care 15

Emergency department volume

Low

Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders

60 minutes

Percentage of healthcare personnel who are up to date with COVID-19 vaccinations

0.6%

Healthcare workers given influenza vaccination

72%

Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better

132 minutes

Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better

270 minutes

Other Providers at the Same Location NPPES 19

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

HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA

Psychiatric Unit