NPI age
20 years
Enumerated 2005-08-24
● Active Type 2 · Organization
Southwestern State Hospital
Southwestern State Hospital is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bajerski
Regional Hospital Administrator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 300 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
113 Cove Landing Dr, Community Medicaid Waiver Home
Thomasville, GA 317923884
Mailing address
Po Box 1378, Patient Billing Dept
Thomasville, GA 317991378
Authorized official
Beverly B. Bajerski
Regional Hospital Administrator
📞 2292273021
Specialties
-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00887236A |
Practice context
Single-site organization. Only one practice location on file.
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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.