IRWIN COUNTY HOSPITAL
NPI 1962499038
Skilled Nursing Facility in Ocilla, GA

NPI Status: Active since October 04, 2005

Contact Information

201 W DISMUKE AVE
OCILLA, GA
ZIP 31774
Phone: (229) 468-3890
Fax: (229) 468-3973

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 11D2266001
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 08-03-2026

About IRWIN COUNTY HOSPITAL

This page provides the complete NPI Profile along with additional information for Irwin County Hospital, a provider established in Ocilla, Georgia operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1962499038 assigned on October 2005. The practitioner's primary taxonomy code is 314000000X with license number 11-A544 (GA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Krystal Carver (Cfo)

NPI
1962499038
Provider Legal Name
IRWIN COUNTY HOSPITAL
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
201 W DISMUKE AVE OCILLA, GA 31774
Location Phone
(229) 468-3890
Location Fax
(229) 468-3973
Mailing Address
201 W DISMUKE AVE OCILLA, GA 31774
Mailing Phone
(229) 468-3890
Mailing Fax
(229) 468-3973
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2005
Last Update Date
02-27-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
11-A544
License State
GA
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRYSTAL CARVER

Authorized Official Title
CFO
Authorized Official Phone
(229) 468-3846

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
11-A544OTHER (01)GASTATE OF GA FACILITY ID #
00142326AMEDICAID (05)GA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2266001
Facility Type
Federally Qualified Health Center
Certificate Effective Date
August 04, 2024
Certificate Expiration Date
August 03, 2026
Laboratory Director
CLARENCE HUNTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Irwin County Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for IRWIN COUNTY HOSPITAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962499038
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122891806
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 8 + 9 + 1 + 8 + 0 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1962499038 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962499038, enumerated in the NPI registry as an "organization" on October 04, 2005

The provider is located at 201 W Dismuke Ave Ocilla, Ga 31774 and the phone number is (229) 468-3890

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 11D2266001 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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