NPI age
8 years
Enumerated 2017-07-13
● Active Type 2 · Organization
Subpart
Hospital Authority Of The City Of Bainbridge And Decatur County
Hospital Authority Of The City Of Bainbridge And Decatur County is 1 of 321 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Faircloth
Credentialing Coordinator
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 321 active pharmacy providers in Georgia.
NPI age
8 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-07Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
1500 East Shotwell Street
Bainbridge, GA 39819
Mailing address
1500 E Shotwell St
Bainbridge, GA 398194256
Authorized official
Karen Faircloth
Credentialing Coordinator
📞 2292436100
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Memorial Hospital and Manor LTC Pharmacy
-
Memorial Hospital and Manor LTC Pharmacy
Practice context
Single-site organization. Only one practice location on file.
Subpart of Hospital Authority Of The City Of Bainbridge And Decatur County Georgi.
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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.