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SOUTHWESTERN STATE HOSPITAL
NPI 1891788097
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Thomasville, GA

Active since August 24, 2005
113 COVE LANDING DR, COMMUNITY MEDICAID WAIVER HOME, THOMASVILLE, GA 31792(229) 227-2977(229) 227-2955 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southwestern State Hospital NPPES

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

SOUTHWESTERN STATE HOSPITAL (NPI 1891788097) 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 August 2005. The organization lists Beverly B. Bajerski, Regional Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1891788097
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSOUTHWESTERN STATE HOSPITAL
Location Address113 COVE LANDING DR, COMMUNITY MEDICAID WAIVER HOMEThomasville, GA 31792-3884
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 DateAugust 24, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891788097 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.
113 COVE LANDING DR, Thomasville, GA 31792
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Other Identifiers 1

Medicaid00887236AGA

Other Providers at the Same Location NPPES

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

SOUTHWESTERN STATE HOSPITAL
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
113 COVE LANDING DR, COMMUNITY MEDICAID WAIVER HOME RTS
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 1891788097. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Southwestern State Hospital located?

Southwestern State Hospital is located at 113 Cove Landing Dr Community Medicaid Waiver Home, 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 August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.