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SOUTHWESTERN STATE HOSPITAL
NPI 1568662468
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Thomasville, GA

Active since July 19, 2007
213 N MARTIN LUTHER KING JR DR, COMMUNITY MEDICAID WAIVER HOME MRWP, THOMASVILLE, GA 31792(229) 227-2977(229) 227-2955 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Southwestern State Hospital NPPES

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

SOUTHWESTERN STATE HOSPITAL (NPI 1568662468) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Thomasville, Georgia and active in the NPI registry since July 2007. The organization lists Beverly B. Bajerski, Regional Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1568662468
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSOUTHWESTERN STATE HOSPITAL
Location Address213 N MARTIN LUTHER KING JR DR, COMMUNITY MEDICAID WAIVER HOME MRWPThomasville, GA 31792-6320
Mailing AddressPo Box 1378, Patient Billing DeptThomasville, GA 31799-1378 · (229) 227-2977 · Fax (229) 227-2955
Phone(229) 227-2977
Fax(229) 227-2955
Organization SubpartNo
Authorized OfficialBeverly B. BajerskiRegional Hospital Administrator · (229) 227-3021
Enumeration DateJuly 19, 2007
✔ NPI 1568662468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
213 N MARTIN LUTHER KING JR DR, Thomasville, GA 31792
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Other Providers at the Same Location NPPES 2

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

GEORGIA PINES COMMUNITY SERVICE BOARD
Community/Behavioral Health
213 N MARTIN LUTHER KING JR DR
THOMASVILLE, GA 31792
Thomas County (229) 227-5476
DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
213 N MARTIN LUTHER KING JR DR, COMMUNITY MEDICAID WAIVER HOME
THOMASVILLE, GA 31792
Thomas County (229) 227-2977

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 Southwestern State Hospital's NPI number?

The NPI number for Southwestern State Hospital is 1568662468. It was assigned to this organization in the NPPES registry on July 19, 2007.

Where is Southwestern State Hospital located?

Southwestern State Hospital is located at 213 N Martin Luther King Jr Dr Community Medicaid Waiver Home Mrwp, Thomasville, GA 31792. The listed phone number is (229) 227-2977.

What is Southwestern State Hospital's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Southwestern State Hospital was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.