South Georgia Medical Center Inc
NPI 1396511713ActiveOrganization· Nursing Facility/Intermediate Care Facility· Lakeland, GA
Nursing Facility/Intermediate Care Facility in Lakeland, Georgia, registered in NPPES in November 2023, part of South Georgia Medical Center Inc. The authorized official on file is Olaf Faeskorn, Vp Revenue Cycle. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1396511713 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | South Georgia Medical Center Inc |
| NPI issued | Nov 27, 2023 |
| Last updated in NPPES | Nov 4, 2025 |
| Certified by provider | Nov 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (GA) |
|---|
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