SOUTHERN REGIONAL MEDICAL CENTER
NPI 1831190958
General Acute Care Hospital in Riverdale, GA

Q: What is Southern Regional Health System, Inc's NPI number?

The NPI number for Southern Regional Health System, Inc is 1831190958. It was assigned to this organization in the NPPES registry on August 10, 2005. The provider is doing business as Southern Regional Medical Center.

Q: What is Southern Regional Health System, Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since August 10, 2005

11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274(770) 991-8000 Get Directions Write a Review

NPPES record last updated: July 25, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Southern Regional Medical Center NPPES

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

SOUTHERN REGIONAL MEDICAL CENTER (NPI 1831190958) is a healthcare organization registered as a general acute care hospital in Riverdale, Georgia and active in the NPI registry since August 2005. The organization lists John R Mclain, Executive Vp & Coo, as its authorized official.

NPPES Registry Identity

NPI1831190958

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameSOUTHERN REGIONAL HEALTH SYSTEM, INC

Location Address11 UPPER RIVERDALE RD SWRiverdale, GA 30274-2615

Mailing Address11 Upper Riverdale Rd SwRiverdale, GA 30274-2615 · (770) 991-8000

Phone(770) 991-8000

Organization SubpartNo

Authorized OfficialJohn R MclainExecutive Vp & Coo · (770) 991-8000

Enumeration DateAugust 10, 2005

Last NPPES UpdateJuly 25, 2013

✔ NPI 1831190958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in GA · 031-442

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

11 UPPER RIVERDALE RD SW, Riverdale, GA 30274

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Other Names 1

Doing Business AsSouthern Regional Medical Center

Other Identifiers 4

Medicare ID-Type Unspecified11T165GA · Medicare Ltac Provider #

Medicare OSCAR/certification11S165GA

Medicare ID-Type Unspecified110165GA · Medicare Provider #

Medicaid00000404AGA

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.

KAREN KRECHMERY NP

Nurse Practitioner