{
  "npi": "1578637526",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "RN, MSN",
    "authorized_official_first_name": "NICOLE",
    "authorized_official_last_name": "PAULK",
    "authorized_official_middle_name": "NOBLES",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4789346211",
    "authorized_official_title_or_position": "CEO",
    "certification_date": "2026-08-12",
    "enumeration_date": "2006-11-20",
    "last_updated": "2026-08-12",
    "organization_name": "BLECKLEY COUNTY HOSPITAL",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 536",
      "address_2": "145 EAST PEACOCK STREET",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COCHRAN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "310140536",
      "state": "GA",
      "telephone_number": "478-934-6211"
    },
    {
      "address_1": "145 E PEACOCK ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COCHRAN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "310147846",
      "state": "GA",
      "telephone_number": "478-934-6211"
    }
  ],
  "taxonomies": [
    {
      "code": "261QH0700X",
      "desc": "Clinic/Center, Hearing and Speech",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QI0500X",
      "desc": "Clinic/Center, Infusion Therapy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QP2000X",
      "desc": "Clinic/Center, Physical Therapy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QS1200X",
      "desc": "Clinic/Center, Sleep Disorder Diagnostic",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "282NC0060X",
      "desc": "General Acute Care Hospital, Critical Access",
      "license": "012-233",
      "primary": true,
      "state": "GA",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)",
    "certifying_board": "The Joint Commission (TJC) / CMS Conditions of Participation (CoP)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A0[7]",
        "medicare_type": "Critical Access Hospital"
      }
    ]
  }
}