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NPI 1265486278
● Active Type 2 · Organization
East Georgia Regional Medical Center, Llc
General Acute Care Hospital · Statesboro, GA · NPI 1265486278
·
Enumerated 2006 · 20 years on NPI
East Georgia Regional Medical Center, Llc is 1 of 309 general acute care hospital organizations in Georgia.
NPI age
20 years
Enumerated 2006-05-22
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lalor
Director/delegated Official
Last NPPES update
2021-04-01
Source: monthly bulk 2026-05
How this organization compares
Across 309 active general acute care hospital providers in Georgia.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-05 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1499 Fair Rd
Statesboro, GA 304581683
📞 9124861000
Mailing address
Po Box 405998
Atlanta, GA 303845998
📞 9124861000
Authorized official
Paula M Lalor
Director/delegated Official
📞 6292153953
Individual providers at this organization
20 individual providers on file at this primary practice address.
Nancy Bailey , P.A.
Physician Assistant
NPI 1225037971
Ngoc Nu Banh , FNP-BC
Nurse Practitioner
NPI 1043939135
Jenna Bazemore , DPT
Physical Therapist
NPI 1396182184
Frenchye Bonds , NURSE PRACTITIONER
Nurse Practitioner
NPI 1184354326
Benjamin Cahan , MD
Radiology
NPI 1851590186
Shonna Canicatti , PT
Physical Therapist
NPI 1609177229
Robert Counts , CRNA
Nurse Anesthetist, Certified Registered
NPI 1093887770
Kaleb Curtis
Technician, Pathology
NPI 1679434211
Kim Dais , PTA
Physical Therapy Assistant
NPI 1942647714
Michael Daly , NP
Nurse Practitioner
NPI 1659748077
Brandon Defeo , DPT
Physical Medicine & Rehabilitation
NPI 1124331871
David Derosso , CRNA
Nurse Anesthetist, Certified Registered
NPI 1194897710
Colin Dodds , M.D
Radiology
NPI 1073522843
Uchechukwu Ezeigwe , MD
Hospitalist
NPI 1326660002
Asia Finley
Nurse Practitioner
NPI 1407664329
Darrell Fixler , RRT, RCP, NRP
Respiratory Therapist, Certified
NPI 1811231012
Isaac Fordjour , MD
Hospitalist
NPI 1659947174
Andrea Franklin , CRNA
Nurse Anesthetist, Certified Registered
NPI 1427709948
Wendy Futch , NP
Nurse Practitioner
NPI 1386010478
Dwayne Gard , MD
Hospitalist
NPI 1053440099
Specialties
General Acute Care Hospital
Primary
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
GA license #016506 taxonomy 282N00000X
Identifiers
Type Value Notes
05 (GA)
00000272A
01 (GA)
000913
BLUE CROSS
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.