HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
NPI 1528874518
Internal Medicine in Hazlehurst, GA
About Hospital Authority Of Jeff Davis County Georgia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA (NPI 1528874518), doing business as Family Healthcare Connections, is a healthcare organization registered as an internal medicine in Hazlehurst, Georgia and active in the NPI registry since December 2024. The organization lists Barry Bloom, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hospital Authority Of Jeff Davis County Georgia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Hospital Authority Of Jeff Davis County Georgia, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 29Source: 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 Jeff Davis County Georgia's NPI number?
The NPI number for Hospital Authority Of Jeff Davis County Georgia is 1528874518. It was assigned to this organization in the NPPES registry on December 5, 2024. The provider is doing business as Family Healthcare Connections.
Where is Hospital Authority Of Jeff Davis County Georgia located?
Hospital Authority Of Jeff Davis County Georgia is located at 15 Yarbrough St, Hazlehurst, GA 31539. The listed phone number is (912) 375-0755.
What is Hospital Authority Of Jeff Davis County Georgia's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Hospital Authority Of Jeff Davis County Georgia enrolled in Medicare?
Yes. Hospital Authority Of Jeff Davis County Georgia is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hospital Authority Of Jeff Davis County Georgia?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 6 Medicare specialties reassign their Medicare billing to Hospital Authority Of Jeff Davis County Georgia. 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. The largest specialties are Nurse Practitioner (18), Certified Registered Nurse Anesthetist (CRNA) (4) and Psychiatry (3). Of these, 3 practice at this address and 11 within 10 miles. 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 Jeff Davis County Georgia was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Hospital Authority Of Jeff Davis County Georgia · NPI 1528874518
Internal Medicine organization in Hazlehurst, Georgia. Organization record, active in the CMS NPPES registry since December 5, 2024.
## Identity
- **NPI:** 1528874518 (Entity type: Organization)
- **Enumerated:** December 5, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** Family Healthcare Connections (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Barry Bloom, CEO
## Practice location
- **Address:** 15 YARBROUGH ST, Hazlehurst, GA 31539-6341
- **Phone:** (912) 375-0755 · **Fax:** (912) 375-0756
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Certified Registered Nurse Anesthetist (CRNA) (4), Psychiatry (3); 3 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1528874518/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528874518) · Data from the CMS NPPES public registry.