NPI age
20 years
Enumerated 2005-06-14
● Active Type 2 · Organization
Hospital Authority Of Jeff Davis County Georgia
Hospital Authority Of Jeff Davis County Georgia is 1 of 84 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
Bloom
Ceo
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 84 active general acute care hospital providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
163 S Tallahassee St
Hazlehurst, GA 315391690
Mailing address
Po Box 1690
Hazlehurst, GA 315391690
Authorized official
Barry Bloom
Ceo
📞 9123757781
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Brandon Anderson, M.D. Emergency Medicine NPI 1063491637
- Loryn Brown, PHARMD Pharmacist NPI 1346026143
- William Chisholm, M.D. Emergency Medicine NPI 1114905742
- Kai Hughes, RN, MSN, PMHNP-BC Nurse Practitioner NPI 1093490351
- Alexis Leggett, PHARM D Pharmacist NPI 1780304626
- Vijay Mahathre, M.D. Family Medicine NPI 1528047016
- Candace Martinez Nurse Practitioner NPI 1538868989
- Kwaku Oppong, MD Psychiatry & Neurology NPI 1194210021
- John Rogers, M.D. Emergency Medicine NPI 1740209154
- Gregory Thompson, CRNA Nurse Anesthetist, Certified Registered NPI 1962489666
- Roger Venable, M.D. Family Medicine NPI 1538384953
- Jason Wilcox, PMHNP-BC Nurse Practitioner NPI 1053095547
- Leroy Winfield, M.D. Emergency Medicine NPI 1114905734
- Joel Yaun, CRNA Nurse Anesthetist, Certified Registered NPI 1043297898
Specialties
-
General Acute Care Hospital PrimaryDefinition to come.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000001009A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
JEFF DAVIS HOSPITAL
-
JEFF DAVIS HOSPITAL
Practice context
Multi-provider organization. 14 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 →
- 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.