HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
NPI 1578334264
Specialist 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 1578334264) is a healthcare organization registered as a specialist in Hazlehurst, Georgia and active in the NPI registry since January 2024. The organization lists Barry Bloom, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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, 2 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 1578334264. It was assigned to this organization in the NPPES registry on January 11, 2024.
Where is Hospital Authority Of Jeff Davis County Georgia located?
Hospital Authority Of Jeff Davis County Georgia is located at 11 Cross St, Hazlehurst, GA 31539. The listed phone number is (912) 699-6570.
What is Hospital Authority Of Jeff Davis County Georgia's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
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, 2 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 January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Hospital Authority Of Jeff Davis County Georgia · NPI 1578334264
Specialist organization in Hazlehurst, Georgia. Organization record, active in the CMS NPPES registry since January 11, 2024.
## Identity
- **NPI:** 1578334264 (Entity type: Organization)
- **Enumerated:** January 11, 2024
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** Yes (part of Hospital Authority Of Jeff Davis County Georgia)
- **Authorized official:** Barry Bloom, ADMINISTRATOR
## Practice location
- **Address:** 11 CROSS ST, Hazlehurst, GA 31539-6427
- **Phone:** (912) 699-6570
## 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); 2 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1578334264/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1578334264) · Data from the CMS NPPES public registry.