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South Georgia Medical Center Inc — NPI 1396511713, Lakeland, GA | NPI Central

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OrganizationActive

South Georgia Medical Center Inc

NPI 1396511713 · Nursing Facility/Intermediate Care Facility · Lakeland, GA

Provider details

NPI number: 1396511713
Entity type: Organization
Primary specialty: Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Parent organization: South Georgia Medical Center Inc
Organization subpart: Yes
Authorized official: Olaf Faeskorn, Vp Revenue Cycle(229) 259-4749

Specialties & taxonomies

Nursing Facility/Intermediate Care FacilityPrimary313M00000X
Nursing & Custodial Care Facilities

Practice location

138 W Thigpen Ave

Lakeland, GA 31635-1011

Phone: (229) 433-8425

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

Po Box 9

Valdosta, GA 31603-0009

Other names (DBA / former)

Doing business as: Sgmc Health Villa

Registry dates

Enumerated: 2023-11-27
Last updated: 2025-11-04
Certified: 2025-11-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.