Prime Healthcare Foundation - Southern Regional, LLC
NPI 1154795581 · General Acute Care Hospital · Riverdale, GA
Enrolled with Medicare as Part a Provider - Hospital · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Healthcare Foundation - Southern Regional, LLC is a General Acute Care Hospital organization in Riverdale, GA (NPI 1154795581).
Provider details
- NPI number
- 1154795581
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Christopher Doan, Managing Associate General Counsel(310) 259-4706
Specialties & taxonomies
Hospitals
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southern Regional Medical Center
Registry dates
- Enumerated
- 2015-11-23
- Last updated
- 2021-09-14
- Certified
- 2021-09-14
Frequently asked questions
- What is Prime Healthcare Foundation - Southern Regional, LLC's NPI number?
- Prime Healthcare Foundation - Southern Regional, LLC's National Provider Identifier (NPI) is 1154795581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Healthcare Foundation - Southern Regional, LLC?
- Prime Healthcare Foundation - Southern Regional, LLC is classified in the NPPES registry as General Acute Care Hospital (Hospitals).
- Where is Prime Healthcare Foundation - Southern Regional, LLC located?
- Prime Healthcare Foundation - Southern Regional, LLC's practice location on file with NPPES is 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615.
- What is Prime Healthcare Foundation - Southern Regional, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Healthcare Foundation - Southern Regional, LLC is (770) 991-8000.
- Does Prime Healthcare Foundation - Southern Regional, LLC accept Medicare?
- Prime Healthcare Foundation - Southern Regional, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Healthcare Foundation - Southern Regional, LLC?
- The authorized official listed on Prime Healthcare Foundation - Southern Regional, LLC's NPPES record is Christopher Doan, Managing Associate General Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Healthcare Foundation - Southern Regional, LLC's NPI active?
- Yes — Prime Healthcare Foundation - Southern Regional, LLC's NPI (1154795581) is active in the NPPES registry as of the last update on 2021-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.