JEFF DAVIS HOSPITAL
NPI 1912902263
General Acute Care Hospital - Critical Access in Hazlehurst, GA
About Jeff Davis Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFF DAVIS HOSPITAL (NPI 1912902263) is a healthcare organization registered as a critical access in Hazlehurst, Georgia and active in the NPI registry since June 2005. The organization lists Barry Bloom, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Jeff Davis Hospital 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 Jeff Davis Hospital, which bills Medicare for the services they deliver. Of these, 3 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 1912902263. It was assigned to this organization in the NPPES registry on June 14, 2005. The provider is doing business as Jeff Davis Hospital.
Where is Hospital Authority Of Jeff Davis County Georgia located?
Hospital Authority Of Jeff Davis County Georgia is located at 163 S Tallahassee St, Hazlehurst, GA 31539. The listed phone number is (912) 375-7781.
What is Hospital Authority Of Jeff Davis County Georgia's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
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, 3 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 Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers 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 July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jeff Davis Hospital · NPI 1912902263
Critical Access organization in Hazlehurst, Georgia. Organization record, active in the CMS NPPES registry since June 14, 2005.
## Identity
- **NPI:** 1912902263 (Entity type: Organization)
- **Enumerated:** June 14, 2005
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Legal business name:** Hospital Authority Of Jeff Davis County Georgia
- **Organization subpart:** No
- **Authorized official:** Barry Bloom, CEO
## Practice location
- **Address:** 163 S TALLAHASSEE ST, Hazlehurst, GA 31539-1690
- **Phone:** (912) 375-7781 · **Fax:** (912) 375-4055
## 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); 3 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1912902263/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 000001009A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1912902263) · Data from the CMS NPPES public registry.