ARCHBOLD - PELHAM PRIMARY CARE CLINIC
NPI 1881960151
Clinic/Center - Rural Health in Pelham, GA

Active since March 30, 2012CLIA 11D2034047 · Microscopy
250 BLANTON ST NE, PELHAM, GA 31779(229) 294-2437 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Archbold - Pelham Primary Care Clinic NPPES

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

ARCHBOLD - PELHAM PRIMARY CARE CLINIC (NPI 1881960151) is a healthcare organization registered as a rural health in Pelham, Georgia and active in the NPI registry since March 2012. The organization holds a CLIA Microscopy certificate valid through December 14, 2027 and lists Greg Hembree, Senior Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1881960151
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHOSPITAL AUTHORITY OF MITCHELL COUNTY
Location Address250 BLANTON ST NEPelham, GA 31779-1138
Mailing Address920 Cairo RdThomasville, GA 31792-4255
Organization SubpartNo
Authorized OfficialGreg HembreeSenior Vp/cfo · (229) 228-2853
Enumeration DateMarch 30, 2012
Last NPPES UpdateApril 25, 2019
✔ NPI 1881960151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
250 BLANTON ST NE, Pelham, GA 31779

Other Names 1

Doing Business AsArchbold - Pelham Primary Care Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Archbold - Pelham Primary Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

60

Medicare enrollment records show 60 clinicians reassign Medicare billing to Archbold - Pelham Primary Care Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Diagnostic Radiology22
Cardiovascular Disease (Cardiology)11
Nurse Practitioner7
Internal Medicine5
Interventional Cardiology4
General Surgery3
Family Practice2
Interventional Radiology2
3 other specialties4

Nearest to this location (20)

See all 60
Nurse Practitioner
NPI 1053763961
250 BLANTON ST NE
Pelham, GA 31779
(229) 294-2437
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548987704
259 US HIGHWAY 19 N
Camilla, GA 31730
(229) 336-1949
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1588274682
259 US HIGHWAY 19 N
Camilla, GA 31730
(229) 336-1949
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1003854373
259 US HIGHWAY 19 N
Camilla, GA 31730
(229) 336-1949
✔ PECOS8.0 mi
Family Practice
NPI 1851345284
259 US HIGHWAY 19 NORTH
Camilla, GA 31730
(229) 336-1949
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1083198584
1090 5TH ST SE
Cairo, GA 39828
(229) 377-1100
✔ PECOS✔ Accepts Medicare19 mi
Internal Medicine
NPI 1881858686
1090 5TH ST SE
Cairo, GA 39828
(229) 377-1100
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1205398914
1090 5TH ST SE
Cairo, GA 39828
(229) 377-1100
✔ PECOS✔ Accepts Medicare19 mi
Diagnostic Radiology
NPI 1932428455
3131 S MAIN ST
Moultrie, GA 31768
(229) 890-3500
✔ PECOS✔ Accepts Medicare22 mi
Vascular Surgery
NPI 1558469981
1019 E JACKSON ST
Thomasville, GA 31792
(229) 236-6742
✔ PECOS✔ Accepts Medicare22 mi
Internal Medicine
NPI 1477512663
119 W HILL ST
Thomasville, GA 31792
(229) 225-1900
✔ PECOS✔ Accepts Medicare23 mi
Cardiovascular Disease (Cardiology)
NPI 1508000183
116 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS✔ Accepts Medicare23 mi
Interventional Cardiology
NPI 1952519670
116 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS✔ Accepts Medicare23 mi
Interventional Cardiology
NPI 1942664263
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOS✔ Accepts Medicare23 mi
Cardiovascular Disease (Cardiology)
NPI 1881696110
116 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS23 mi
Family Practice
NPI 1144370206
GORDON AVENUE AT MIMOSA DRIVE
Thomasville, GA 31799
(229) 228-2000
✔ PECOS23 mi
General Surgery
NPI 1407835705
100 MIMOSA DRIVE
Thomasville, GA 31792
(229) 226-8881
✔ PECOS✔ Accepts Medicare23 mi
General Surgery
NPI 1376832261
100 MIMOSA DR
Thomasville, GA 31792
(229) 226-8881
✔ PECOS✔ Accepts Medicare23 mi
Diagnostic Radiology
NPI 1659348613
900 GORDON AVE
Thomasville, GA 31792
(229) 226-0125
✔ PECOS✔ Accepts Medicare23 mi
Interventional Radiology
NPI 1619143914
PO BOX 5764
Thomasville, GA 31758
(229) 221-6596
✔ PECOS✔ Accepts Medicare24 mi
See all 60 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2034047

Archbold Pelham Primary Care Clinic · Pelham, GA
Active · expires Dec 14, 2027
CLIA Number11D2034047
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorStephen A. Rubendall
Laboratory Phone(229) 294-2437
Laboratory LocationArchbold Pelham Primary Care Clinic250 Blanton Street, Pelham, GA 31779
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Mitchell County's NPI number?

The NPI number for Hospital Authority Of Mitchell County is 1881960151. It was assigned to this organization in the NPPES registry on March 30, 2012. The provider is doing business as Archbold - Pelham Primary Care Clinic.

Where is Hospital Authority Of Mitchell County located?

Hospital Authority Of Mitchell County is located at 250 Blanton St NE, Pelham, GA 31779. The listed phone number is (229) 294-2437.

What is Hospital Authority Of Mitchell County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Hospital Authority Of Mitchell County enrolled in Medicare?

Yes. Hospital Authority Of Mitchell County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hospital Authority Of Mitchell County?

According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 11 Medicare specialties reassign their Medicare billing to Hospital Authority Of Mitchell County. 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 Diagnostic Radiology (22), Cardiovascular Disease (Cardiology) (11) and Nurse Practitioner (7). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hospital Authority Of Mitchell County hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2034047) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hospital Authority Of Mitchell County accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Hospital Authority Of Mitchell County as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hospital Authority Of Mitchell County was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.