SOUTHERN PEACHES A DIVISION OF APPLING HEALTHCARE SYSTEM
NPI 1891149100
Nurse Practitioner - Family in Baxley, GA
About Southern Peaches A Division Of Appling Healthcare System NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN PEACHES A DIVISION OF APPLING HEALTHCARE SYSTEM (NPI 1891149100) is a healthcare organization registered as a family in Baxley, Georgia and active in the NPI registry since April 2016. The organization lists Raymond James Leadbetter, 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)
Southern Peaches A Division Of Appling Healthcare System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Southern Peaches A Division Of Appling Healthcare System, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (14)
Source: 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 The Baxley And Appling County Hospital Authority's NPI number?
The NPI number for The Baxley And Appling County Hospital Authority is 1891149100. It was assigned to this organization in the NPPES registry on April 22, 2016. The provider is doing business as Southern Peaches A Division Of Appling Healthcare System.
Where is The Baxley And Appling County Hospital Authority located?
The Baxley And Appling County Hospital Authority is located at 507 Fair St, Baxley, GA 31513. The listed phone number is (912) 367-9841.
What is The Baxley And Appling County Hospital Authority's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is The Baxley And Appling County Hospital Authority enrolled in Medicare?
Yes. The Baxley And Appling County Hospital Authority is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Baxley And Appling County Hospital Authority?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 6 Medicare specialties reassign their Medicare billing to The Baxley And Appling County Hospital Authority. 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 Internal Medicine (5), Nurse Practitioner (4) and Family Practice (2). Of these, 1 practice at this address and 9 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 The Baxley And Appling County Hospital Authority was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Southern Peaches A Division Of Appling Healthcare System · NPI 1891149100
Family organization in Baxley, Georgia. Organization record, active in the CMS NPPES registry since April 22, 2016.
## Identity
- **NPI:** 1891149100 (Entity type: Organization)
- **Enumerated:** April 22, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** The Baxley And Appling County Hospital Authority
- **Organization subpart:** Yes (part of The Baxley And Appling County Hospital Authority)
- **Authorized official:** Raymond Leadbetter, CEO
## Practice location
- **Address:** 507 FAIR ST, Baxley, GA 31513-0112
- **Phone:** (912) 367-9841 · **Fax:** (912) 367-1272
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (5), Nurse Practitioner (4), Family Practice (2); 1 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1891149100) · Data from the CMS NPPES public registry.