South Georgia Medical Center Inc
NPI 1396511713 · Nursing Facility/Intermediate Care Facility · Lakeland, GA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Georgia Medical Center Inc is a Nursing Facility/Intermediate Care Facility organization in Lakeland, GA (NPI 1396511713).
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 & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- Sgmc Health Villa
Registry dates
- Enumerated
- 2023-11-27
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is South Georgia Medical Center Inc's NPI number?
- South Georgia Medical Center Inc's National Provider Identifier (NPI) is 1396511713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Georgia Medical Center Inc?
- South Georgia Medical Center Inc is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is South Georgia Medical Center Inc located?
- South Georgia Medical Center Inc's practice location on file with NPPES is 138 W Thigpen Ave, Lakeland, GA 31635-1011.
- What is South Georgia Medical Center Inc's phone number?
- The practice phone number listed in the NPPES registry for South Georgia Medical Center Inc is (229) 433-8425.
- Does South Georgia Medical Center Inc accept Medicare?
- South Georgia Medical Center Inc 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 South Georgia Medical Center Inc?
- The authorized official listed on South Georgia Medical Center Inc's NPPES record is Olaf Faeskorn, Vp Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Georgia Medical Center Inc's NPI active?
- Yes — South Georgia Medical Center Inc's NPI (1396511713) is active in the NPPES registry as of the last update on 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.