OrganizationActive
Southwestern State Hospital
NPI 1891788097 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Thomasville, GA
Provider details
- NPI number
- 1891788097
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Beverly Bajerski, Regional Hospital Administrator(229) 227-3021
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
113 Cove Landing Dr
Community Medicaid Waiver Home
Thomasville, GA 31792-3884
Phone: (229) 227-2977
Fax: (229) 227-2955
Street-level locationGet directions
Mailing address
Po Box 1378
Thomasville, GA 31799-1378
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.