HOSPITAL AUTHORITY OF JENKINS COUNTY
NPI 1457935504
Psychiatric Unit in Millen, GA

Active since May 05, 2021
931 E WINTHROPE AVE, MILLEN, GA 30442(478) 982-4221 Get Directions Write a Review

NPPES record last updated: May 5, 2021. 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 1457935504) is a healthcare organization registered as a psychiatric unit in Millen, Georgia and active in the NPI registry since May 2021. The organization lists Antoine Poythress, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457935504
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameHOSPITAL AUTHORITY OF JENKINS COUNTY
Location Address931 E WINTHROPE AVEMillen, GA 30442-1839
Mailing Address931 E Winthrope AveMillen, GA 30442-1839
Organization SubpartNo
Authorized OfficialAntoine PoythressCeo · (478) 357-8055
Enumeration DateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1457935504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
931 E WINTHROPE AVE, Millen, GA 30442

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 at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1306635859
931 E WINTHROPE AVE
Millen, GA 30442
(478) 982-4221
✔ PECOSSame address
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 1457935504. It was assigned to this organization in the NPPES registry on May 5, 2021.

Where is Hospital Authority Of Jenkins County located?

Hospital Authority Of Jenkins County is located at 931 E Winthrope Ave, Millen, GA 30442. 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 Psychiatric Unit with taxonomy code 273R00000X.

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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hospital Authority Of Jenkins County was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.