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NPI 1992779748
● Active Type 2 · Organization
Lagrange Troup County Hospital Authority
General Acute Care Hospital · Lagrange, GA · NPI 1992779748
·
Enumerated 2006 · 20 years on NPI
Lagrange Troup County Hospital Authority is 1 of 309 general acute care hospital organizations in Georgia.
NPI age
20 years
Enumerated 2006-02-16
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fulks
President Ceo
Last NPPES update
2007-11-05
Source: monthly bulk 2026-05
How this organization compares
Across 309 active general acute care hospital providers in Georgia.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-02 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1514 Vernon Rd
Lagrange, GA 302404131
📞 7068821411 fax 7068453902
Mailing address
1514 Vernon Rd
Lagrange, GA 302404131
📞 7068821411 fax 7068453902
Authorized official
Gerald N Fulks
President Ceo
📞 7068453244
Individual providers at this organization
20 individual providers on file at this primary practice address.
Jung Ahn , MD
Anesthesiology
NPI 1215031901
Ezinne Akamiro , MD
Hospitalist
NPI 1922308378
John Andrulot , MD
Pathology
NPI 1285763755
Jared Angstadt , CRNA
Nurse Anesthetist, Certified Registered
NPI 1700400272
Nisha Aravindakshan Patel , MD, MPH
Internal Medicine
NPI 1942527478
Michele Ballister , DNP APRN CRNA CHSE
Nurse Anesthetist, Certified Registered
NPI 1003054586
David Barnes , MD
Emergency Medicine
NPI 1831125525
Brandon Bisso , NP
Nurse Practitioner
NPI 1306401260
Robert Bookman , MD
Hospitalist
NPI 1164953121
Melhim Bou Alwan , M.D.
Hospitalist
NPI 1164736542
Susan Braddy , CRNA
Nurse Anesthetist, Certified Registered
NPI 1205902699
Mark Brown , OTR/L
Occupational Therapist
NPI 1841261583
Shaundre Brown , MD
Hospitalist
NPI 1467763367
Cory Butzon , MD
Pediatrics
NPI 1659509685
Heather Coggins , MPA, RD, LD
Dietitian, Registered
NPI 1609860014
Darrin Coulter , PA
Physician Assistant
NPI 1932683802
Joshua Davis , DPT
Physical Therapist
NPI 1134322100
Holly Dawson , M.D.
Pediatrics
NPI 1134416894
Rod Duraski , MD
Internal Medicine
NPI 1649363300
Maurice Edwards-Lackey , MD
Emergency Medicine
NPI 1598269953
Specialties
General Acute Care Hospital
Primary
An 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...
taxonomy 282N00000X
Identifiers
Type Value Notes
05 (GA)
00002065A
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.