NPI age
2 years
Enumerated 2023-11-27
● Active Type 2 · Organization
Subpart
South Georgia Medical Center Inc
South Georgia Medical Center Inc is 1 of 35 nursing facility/intermediate care facility organizations in Georgia.
Primary specialty
Nursing Facility/Intermediate Care Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Faeskorn
Vp Revenue Cycle
Last NPPES update
2025-11-04
Source: monthly bulk 2026-05
How this organization compares
Across 35 active nursing facility/intermediate care facility providers in Georgia.
NPI age
2 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-11Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
138 W Thigpen Ave
Lakeland, GA 316351011
Mailing address
Po Box 9
Valdosta, GA 316030009
Authorized official
Olaf Faeskorn
Vp Revenue Cycle
📞 2292594749
Specialties
-
Nursing Facility/Intermediate Care Facility PrimaryAn institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SGMC Health Villa
Practice context
Single-site organization. Only one practice location on file.
Subpart of South Georgia Medical Center Inc.
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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.