| South Georgia Medical Center Inc | |
|
1221 E Mcpherson Ave Nashville GA 31639-2326 | |
| (229) 433-8600 | |
| Not Available |
| Full Name | South Georgia Medical Center Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1221 E Mcpherson Ave, Nashville, Georgia |
| Authorized Official Name and Position | Olaf Faeskorn (VP REVENUE CYCLE) |
| Authorized Official Contact | 2292594749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Georgia Medical Center Inc Po Box 9 Valdosta GA 31603-0009 Ph: () - | South Georgia Medical Center Inc 1221 E Mcpherson Ave Nashville GA 31639-2326 Ph: (229) 433-8600 |
| NPI Number | 1497521801 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/04/2025 |
| Certification Date | 11/04/2025 |
| Medicare PECOS PAC ID | 1052764677 |
|---|---|
| Medicare Enrollment ID | O20240410003462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497521801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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