JEFFERSON HOSPITAL
NPI 1417554437
Psychiatric Unit in Louisville, GA

Active since October 02, 2020CLIA 11D0261004 · Accreditation
1067 PEACHTREE ST, LOUISVILLE, GA 30434(478) 625-7000 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 6, 2020, Oct 2, 2020 (2 updates tracked since 2020).

About Jefferson Hospital NPPES

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

JEFFERSON HOSPITAL (NPI 1417554437) is a healthcare organization registered as a psychiatric unit in Louisville, Georgia and active in the NPI registry since October 2020. The organization holds an CLIA Accreditation certificate valid through November 30, 2027 and lists Jessica Guy, Assistant Administrator, as its authorized official.

NPPES Registry Identity

NPI1417554437
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameHOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE
Location Address1067 PEACHTREE STLouisville, GA 30434-1558
Mailing Address1067 Peachtree StLouisville, GA 30434-1558 · (478) 625-7000
Organization SubpartNo
Authorized OfficialJessica GuyAssistant Administrator · (478) 625-7000
Enumeration DateOctober 2, 2020
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1417554437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
1067 PEACHTREE ST, Louisville, GA 30434

Other Names 1

Doing Business AsJefferson Hospital

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 Accreditation 11D0261004

Jefferson Hospital · Louisville, GA
Active · expires Nov 30, 2027
CLIA Number11D0261004
Laboratory TypeHospital
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorAlvin Bryan Jr
Laboratory Phone(912) 625-7000
Laboratory LocationJefferson Hospital1067 Peachtree St, Louisville, GA 30434
CLIA data matches this NPI record on: Address Name
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.

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Clinic/Center (Rural Health)
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Internal Medicine
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Nurse Practitioner (Family)
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Physical Therapist
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Occupational Therapy Assistant
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Nurse Practitioner (Family)
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Nurse Practitioner
1067 PEACHTREE ST
LOUISVILLE, GA 30434

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 Jefferson County And The City Of Louisville's NPI number?

The NPI number for Hospital Authority Of Jefferson County And The City Of Louisville is 1417554437. It was assigned to this organization in the NPPES registry on October 2, 2020. The provider is doing business as Jefferson Hospital.

Where is Hospital Authority Of Jefferson County And The City Of Louisville located?

Hospital Authority Of Jefferson County And The City Of Louisville is located at 1067 Peachtree St, Louisville, GA 30434. The listed phone number is (478) 625-7000.

What is Hospital Authority Of Jefferson County And The City Of Louisville's specialty?

The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.

Does Hospital Authority Of Jefferson County And The City Of Louisville hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D0261004) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hospital Authority Of Jefferson County And The City Of Louisville was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.