P Praxis·MD
● Active Type 2 · Organization Subpart

Hospital Authority Of Liberty County

Skilled Nursing Facility·Ludowici, GA· NPI 1265463004 · Enumerated 2006 · 19 years on NPI
Hospital Authority Of Liberty County is 1 of 794 skilled nursing facility organizations in Georgia.
NPI age
19 years
Enumerated 2006-07-06
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rozier
Cfo
Last NPPES update
2022-01-06
Source: monthly bulk 2026-05

How this organization compares

Across 794 active skilled nursing facility providers in Georgia.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
Hwy 84 East
Ludowici, GA 31316
📞 9125453392fax 9125459588
Mailing address
Rr 3 Box 2d
Ludowici, GA 313169701
📞 9125453392fax 9125459588

Authorized official

Derek Rozier
Cfo
📞 9123699427

Specialties

  • Skilled Nursing Facility Primary
    (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
    taxonomy 314000000X

Identifiers

TypeValueNotes
05 (GA) 000856028A

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Coastal Manor Nursing HOme
    Type code 3 recorded 2022-01-06
  • Coastal Manor Nursing HOme
    Type code 3 recorded 2007-12-21

Practice context

Single-site organization. Only one practice location on file.

Subpart of Hospital Authority Of Liberty County.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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