LIBERTY REGIONAL MEDICAL ASSOCIATES PRIMARY CARE-MIDWAY CAMPUS – NPI #1093214041
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

LIBERTY REGIONAL MEDICAL ASSOCIATES PRIMARY CARE-MIDWAY CAMPUS is a provider located in MIDWAY, GA. NPPES has assigned the NPI number 1093214041 to LIBERTY REGIONAL MEDICAL ASSOCIATES PRIMARY CARE-MIDWAY CAMPUS on February 06, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIBERTY REGIONAL MEDICAL ASSOCIATES PRIMARY CARE-MIDWAY CAMPUS” is a dba name, the actual legal business name for this organization is HOSPITAL AUTHORITY OF LIBERTY COUNTY. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Jan 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIBERTY REGIONAL MEDICAL ASSOCIATES PRIMARY CARE-MIDWAY CAMPUS below.

NPI Profile for
HOSPITAL AUTHORITY OF LIBERTY COUNTY

NPI Number
1093214041
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOSPITAL AUTHORITY OF LIBERTY COUNTY
Doing Business As (dba): LIBERTY REGIONAL MEDICAL ASSOCIATES PRIMARY CARE-MIDWAY CAMPUS
Primary location
586 ISLANDS HIGHWAY
MIDWAY, GA 31320
Phone: Fax:
Mailing address
PO BOX 919
HINESVILLE, GA 31314
Phone: Fax:
Organization Subpart
No
Authorized Official
DEREK ROZIER
CFO
Phone: (912) 369-9427
Updated
Certification Date
Jan 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
586 ISLANDS HIGHWAY,
MIDWAY, GA 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
586 ISLANDS HIGHWAY,
MIDWAY, GA 77025-1669