NPI age
3 years
Enumerated 2022-10-27
● Active Type 2 · Organization
Subpart
Hospital Authority Of Jeff Davis County Georgia
Hospital Authority Of Jeff Davis County Georgia is 1 of 318 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Bloom
Ceo
Last NPPES update
2023-06-07
Source: monthly bulk 2026-05
How this organization compares
Across 318 active clinic/center providers in Georgia.
NPI age
3 years
↓ 3 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-10Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
4 S Tallahassee St Ste 4
Hazlehurst, GA 315396136
Mailing address
Po Box 1690
Hazlehurst, GA 315391690
Additional practice locations
1 secondary location on file with NPPES.
Location 2
15 Hester St
Hazlehurst, GA 31539
Authorized official
Barry Bloom
Ceo
📞 9123757781
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Wynne Lott, PA-C Physician Assistant NPI 1811042815
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
The Tabi Wellness Center and Spa
Practice context
Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.
Subpart of Hospital Authority Of Jeff Davis County Georgia.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.