HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
NPI 1912379082
Clinic/Center - Rural Health 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 1912379082), doing business as Jeff Davis Family Medical Group, is a healthcare organization registered as a rural health in Hazlehurst, Georgia and active in the NPI registry since October 2015. The organization lists Barry Bloom, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
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 1912379082. It was assigned to this organization in the NPPES registry on October 28, 2015. The provider is doing business as Jeff Davis Family Medical Group.
Where is Hospital Authority Of Jeff Davis County Georgia located?
Hospital Authority Of Jeff Davis County Georgia is located at 9 Hester St, Hazlehurst, GA 31539. The listed phone number is (912) 375-0418.
What is Hospital Authority Of Jeff Davis County Georgia's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
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.
What insurance does Hospital Authority Of Jeff Davis County Georgia accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hospital Authority Of Jeff Davis County Georgia 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 Jeff Davis County Georgia was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 1912379082
Rural Health organization in Hazlehurst, Georgia. Organization record, active in the CMS NPPES registry since October 28, 2015.
## Identity
- **NPI:** 1912379082 (Entity type: Organization)
- **Enumerated:** October 28, 2015
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Jeff Davis Family Medical Group (Doing Business As)
- **Organization subpart:** Yes (part of Hospital Authority Of Jeff Davis County Gerorgia)
- **Authorized official:** Barry Bloom, CEO
## Practice location
- **Address:** 9 HESTER ST, Hazlehurst, GA 31539-6323
- **Phone:** (912) 375-0418 · **Fax:** (912) 375-5775
## 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/1912379082/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912379082) · Data from the CMS NPPES public registry.