NPI
Ga Department Of Human Resources
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-09-29
- Last updated
- 2020-08-22
Specialties
Licenses
- License GA
- 1121694
Location
- Practice location
- 100 Myrtle Blvd
- City
- Gracewood GA
- Postal code
- 30812-1500
- Phone
- (706) 790-2042
Organization contact
- Name
- GAIL JACKSON
- Title
- Regional Hospital Administrator
- Phone
- 7067902030
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Gracewood, GA. 20 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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