SYLVAN GROVE HOSPITAL
NPI 1386664779
General Acute Care Hospital - Critical Access in Jackson, GA
About Sylvan Grove Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SYLVAN GROVE HOSPITAL (NPI 1386664779) is a healthcare organization registered as a critical access in Jackson, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 21, 2027 and lists Anthony J Buzdinski, Evp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 19
Accepted Insurance
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 Compliance 11D0257390
Wellstar Sylvan Grove Hospital · Jackson, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wellstar Sylvan Grove Hospital, Inc's NPI number?
The NPI number for Wellstar Sylvan Grove Hospital, Inc is 1386664779. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Sylvan Grove Hospital.
Where is Wellstar Sylvan Grove Hospital, Inc located?
Wellstar Sylvan Grove Hospital, Inc is located at 1050 Mcdonough Rd, Jackson, GA 30233. The listed phone number is (770) 775-7861.
What is Wellstar Sylvan Grove Hospital, Inc's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Does Wellstar Sylvan Grove Hospital, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 11D0257390) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wellstar Sylvan Grove Hospital, Inc accept?
Health plans from Mending Health list Wellstar Sylvan Grove Hospital, Inc 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 Wellstar Sylvan Grove Hospital, Inc was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Sylvan Grove Hospital · NPI 1386664779
Critical Access organization in Jackson, Georgia. Organization record, active in the CMS NPPES registry since July 20, 2006.
## Identity
- **NPI:** 1386664779 (Entity type: Organization)
- **Enumerated:** July 20, 2006
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Legal business name:** Wellstar Sylvan Grove Hospital, Inc
- **Organization subpart:** No
- **Authorized official:** Anthony Buzdinski, EVP
## Practice location
- **Address:** 1050 MCDONOUGH RD, Jackson, GA 30233-1524
- **Phone:** (770) 775-7861
## Record status
- **NPPES last updated:** October 31, 2024
- **Other identifiers:** Medicaid 00715107T (GA); Other 152710726; Medicaid 1703761 (LA); and 16 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386664779) · Data from the CMS NPPES public registry.