● Active Type 2 · Organization
Hospital Authority Of Jeff Davis County Georgia
General Acute Care Hospital·Hazlehurst, GA· NPI 1912902263
·
Enumerated 2005 · 20 years on NPI
Hospital Authority Of Jeff Davis County Georgia is 1 of 84 general acute care hospital organizations in Georgia.
NPI age
20 years
Enumerated 2005-06-14
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
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
163 S Tallahassee St
Hazlehurst, GA 315391690
📞 9123757781fax 9123754055
Mailing address
Po Box 1690
Hazlehurst, GA 315391690
📞 9123757781fax 9123754055
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
Identifiers
| Type | Value | Notes |
| 05 (GA) |
000001009A |
|
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
14 individual providers on file at this primary address.
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How to verify this organization
- 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.