HOSPITAL AUTHORITY OF JENKINS COUNTY
NPI 1366315418
Clinic/Center - Mental Health (Including Community Mental Health Center) in Millen, GA

Active since September 25, 2025
240 WALNUT STREET, MILLEN, GA 30432(478) 982-4221(478) 982-7822 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hospital Authority Of Jenkins County NPPES

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

HOSPITAL AUTHORITY OF JENKINS COUNTY (NPI 1366315418) is a healthcare organization registered as a mental health (including community mental health center) in Millen, Georgia and active in the NPI registry since September 2025. The organization lists Andrea Peek Graham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366315418
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameHOSPITAL AUTHORITY OF JENKINS COUNTY
Location Address240 WALNUT STREETMillen, GA 30432
Mailing Address931 E Winthrope AveMillen, GA 30442-1839 · (478) 982-4221 · Fax (478) 982-7822
Fax(478) 982-7822
Organization SubpartYes
Authorized OfficialAndrea Peek GrahamCeo · (478) 982-4221
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1366315418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
240 WALNUT STREET, Millen, GA 30432

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20040401000747Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Hospital Authority Of Jenkins County, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1306635859
931 E WINTHROPE AVE
Millen, GA 30442
(478) 982-4221
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1134505118
1900 TEBEAU ST
Waycross, GA 31501
(912) 338-6338
✔ PECOS111 mi
Psychiatry
NPI 1962433599
3131 S MAIN ST
Moultrie, GA 31768
(229) 891-9443
✔ PECOS

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 Hospital Authority Of Jenkins County's NPI number?

The NPI number for Hospital Authority Of Jenkins County is 1366315418. It was assigned to this organization in the NPPES registry on September 25, 2025.

Where is Hospital Authority Of Jenkins County located?

Hospital Authority Of Jenkins County is located at 240 Walnut Street, Millen, GA 30432. The listed phone number is (478) 982-4221.

What is Hospital Authority Of Jenkins County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Hospital Authority Of Jenkins County enrolled in Medicare?

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

When is Hospital Authority Of Jenkins County's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hospital Authority Of Jenkins County?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Hospital Authority Of Jenkins County, in Nurse Practitioner and Psychiatry. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hospital Authority Of Jenkins County accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Hospital Authority Of Jenkins County 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 Hospital Authority Of Jenkins County was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.