SOUTH GEORGIA MEDICAL CENTER INC
NPI 1396511713
Nursing Facility/Intermediate Care Facility in Lakeland, GA

Active since November 27, 2023
138 W THIGPEN AVE, LAKELAND, GA 31635(229) 433-8425 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Georgia Medical Center Inc NPPES

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

SOUTH GEORGIA MEDICAL CENTER INC (NPI 1396511713), doing business as Sgmc Health Villa, is a healthcare organization registered as a nursing facility/intermediate care facility in Lakeland, Georgia and active in the NPI registry since November 2023. The organization lists Olaf Faeskorn, Vp Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1396511713
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSOUTH GEORGIA MEDICAL CENTER INC
Location Address138 W THIGPEN AVELakeland, GA 31635-1011
Mailing AddressPo Box 9Valdosta, GA 31603-0009
Organization SubpartYes
Authorized OfficialOlaf FaeskornVp Revenue Cycle · (229) 259-4749
Enumeration DateNovember 27, 2023
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
NPI 1396511713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
138 W THIGPEN AVE, Lakeland, GA 31635

Other Names 1

Doing Business AsSgmc Health Villa

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nursing Facility/Intermediate Care Facility
138 W THIGPEN AVE
LAKELAND, GA 31635

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 South Georgia Medical Center Inc's NPI number?

The NPI number for South Georgia Medical Center Inc is 1396511713. It was assigned to this organization in the NPPES registry on November 27, 2023. The provider is doing business as SGMC Health Villa.

Where is South Georgia Medical Center Inc located?

South Georgia Medical Center Inc is located at 138 W Thigpen Ave, Lakeland, GA 31635. The listed phone number is (229) 433-8425.

What is South Georgia Medical Center Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

What insurance does South Georgia Medical Center Inc 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 South Georgia Medical Center 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 South Georgia Medical Center Inc was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.