Healthcare Provider Details

I. General information

NPI: 1346162955
Provider Name (Legal Business Name): HOSPITAL AUTHORITY OF JENKINS COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 WALNUT STREET
MILLEN GA
30442
US

IV. Provider business mailing address

931 E WINTHROPE AVE
MILLEN GA
30442-1839
US

V. Phone/Fax

Practice location:
  • Phone: 478-982-4221
  • Fax: 478-982-7822
Mailing address:
  • Phone: 478-982-4221
  • Fax: 478-982-7822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREA PEEK GRAHAM
Title or Position: CEO
Credential:
Phone: 478-982-4221