# SOUTH GEORGIA MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH GEORGIA MEDICAL CENTER INC
- **Other names:** SGMC Health Berrien, SGMC Berrien Campus
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689440091
- **Legal business name:** SOUTH GEORGIA MEDICAL CENTER INC
- **Authorized official:** OLAF FAESKORN (VP REVENUE CYCLE)
- **Authorized official phone:** (229) 259-4749

## Contact information

- **Practice address:** 1221 E MCPHERSON AVE, NASHVILLE, GA 31639-2326
- **Practice address phone:** (229) 433-8600
- **Mailing address:** PO BOX 9, VALDOSTA, GA 31603-0009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |
| 282N00000X | General Acute Care Hospital | — | — | Yes |

## Other

- **Enumeration date:** 11/27/2023
- **Last updated:** 11/04/2025