NPI age
11 years
Enumerated 2015-05-21
● Active Type 2 · Organization
Georgia Dept. Of Corrections
Georgia Dept. Of Corrections is 1 of 309 general acute care hospital organizations in Georgia.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Young
Clinic Director
Last NPPES update
2015-05-21
Source: monthly bulk 2026-05
How this organization compares
Across 309 active general acute care hospital providers in Georgia.
NPI age
11 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-05Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
3001 Gordon Hwy
Grovetown, GA 308133808
Mailing address
645 Simonton Crest Dr
Lawrenceville, GA 300453512
Authorized official
Timothy Young, M.D.
Clinic Director
📞 7068554833
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Judieth Baker-Brown, M.D. Internal Medicine NPI 1477674497
- Elijah Carter, CRC, CVE, LPC, CDMS Rehabilitation Counselor NPI 1982211520
- William Cheatam, PA Physician Assistant NPI 1598144065
- Cynthia Ditslear, D.D.S Dentist NPI 1235340852
- Tiffany Parks, M.D. Internal Medicine NPI 1336383751
- Millie Reeves, PA-C Physician Assistant NPI 1366653313
- Elisa Salgado, NP-C Nurse Practitioner NPI 1619562345
- Ashley Sires, NP-C Nurse Practitioner NPI 1972267672
- Timothy Young, MD General Practice NPI 1427261130
Specialties
-
General Acute Care Hospital PrimaryAn 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...
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.