Organization · Type 2 NPI

Hospital Authority of Jeff Davis County Georgia

Rural Health Clinic/Center · Hazlehurst, GA

NPI number 1912379082 Active

Practice location

9 Hester St
Hazlehurst, GA 31539-6323

Fax (912) 375-5775

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

NPI record

NPI: 1912379082
Entity type: Organization (Type 2)
Issued: Oct 28, 2015
Last updated: Apr 23, 2026
Status: Active
Subpart: Yes of Hospital Authority of Jeff Davis County Gerorgia

Other names

<unavail>
Jeff Davis Family Medical Group · doing business as

Authorized official

Barry Bloom
CEO
(912) 375-7781

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1912379082

Hospital Authority of Jeff Davis County Georgia's National Provider Identifier is 1912379082, issued on Oct 28, 2015. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Hazlehurst, GA. The record was last updated on Apr 23, 2026.