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: July 19, 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


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396511713, enumerated as an "organization" on November 27, 2023.

The provider is located at 138 W THIGPEN AVE LAKELAND, GA 31635 and the phone number is (229) 433-8425.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.