Piedmont Fayette Hospital, which has been expanding almost every three or four years over the past few decades, is seeking to rezone land for its next major project.

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The Fayetteville City Council will decide Thursday whether to rezone about 25 acres near the hospital so the facility can build a five-story medical office building. The new structure would house Piedmont Fayette’s oncology services, and more than 450 parking spaces would be added for employees and visitors, spokesman Michael Boylan said.

If the rezoning is approved, work will begin this spring and finish in December 2020.

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Piedmont Fayette joins a number of hospitals undergoing or seeking expansion in metro Atlanta. Grady Health System is seeking more than $230 million for an expansion that would include enlarging a center for HIV and AIDS treatment while Emory Healthcare is reportedly considering a $10 million expansion at its Johns Creek and St. Joseph hospital campuses.

Piedmont Fayette's proposed expansion is the latest development for the hospital, which has set an aggressive growth schedule since the beginning of the new century. In 2003, the hospital added a third floor and followed that with a Women's Imaging Center in 2005.

In 2006, the hospital doubled in size with a $49 million expansion and in 2012 added a Wound Care and Hyperbaric Center.

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“We focus on the safety and well-being of our patients, and their needs,” Piedmont Fayette CEO Michael Burnett said in a statement. “We are grateful to be part of Fayette County and are proud of what we have added to strengthen the health and well-being of this area and its citizens.”

More recently the hospital added 130,000-square-feet in 2017 by adding four new patient floors and doubling the size of its emergency department.

It's currently constructing a 60,000-square-foot wellness center at Pinewood Forest, a 235-acre mixed-used development across from Pinewood Studios, home of several Marvel Studios films. The Pinewood Wellness Center will open in November.