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HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
NPI 1912379082
Clinic/Center - Rural Health in Hazlehurst, GA

Active since October 28, 2015
9 HESTER ST, HAZLEHURST, GA 31539(912) 375-0418(912) 375-5775 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Jun 23, 2021 (2 updates tracked since 2021).

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

NPI1912379082
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
Location Address9 HESTER STHazlehurst, GA 31539-6323
Mailing Address9 Hester StHazlehurst, GA 31539-6323 · (912) 375-0418 · Fax (912) 375-5775
Phone(912) 375-0418
Fax(912) 375-5775
Organization SubpartYesParent: Hospital Authority Of Jeff Davis County Gerorgia
Authorized OfficialBarry BloomCeo · (912) 375-7781
Enumeration DateOctober 28, 2015
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1912379082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
9 HESTER ST, Hazlehurst, GA 31539
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Other Names 1

Doing Business AsJeff Davis Family Medical Group

Other Providers at the Same Location NPPES 3

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

ALEJANDRO F. PERNETT, M.D., P.C.
Surgery
9 HESTER ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 379-9380
BONNIE PITTMAN
Nurse Practitioner (Family)
9 HESTER ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-0418
DANA VANESSA STONE FNP
Nurse Practitioner (Family)
9 HESTER ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-0418

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.

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 3 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.