Provider Demographics
NPI:1912180878
Name:NAVICENT HEALTH BALDWIN, INC
Entity Type:Organization
Organization Name:NAVICENT HEALTH BALDWIN, INC
Other - Org Name:ATRIUM HEALTH NAVICENT BALDWIN SKILLED NURSING UNIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHREWSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-633-1452
Mailing Address - Street 1:821 N COBB ST
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-2343
Mailing Address - Country:US
Mailing Address - Phone:478-776-4000
Mailing Address - Fax:478-776-4718
Practice Address - Street 1:821 N COBB ST
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-2343
Practice Address - Country:US
Practice Address - Phone:478-776-4000
Practice Address - Fax:478-776-4718
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAVICENT HEALTH BALDWIN, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-13
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-005-1608314000000X
GACSW000948104100000X
GA000587282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing FacilityGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000000129AMedicaid