THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY (NPI# 1285767053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285767053 |
| Entity Type | Organization |
| Organization Name | THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY |
| Practice Address |
17 White Street Cleveland GA 30528 |
| Practice Telephone | 7068654001 |
| Practice Fax Number | 7067547300 |
| Mailing Telephone | 7068654001 |
| Mailing Fax Number | 7067547300 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | STEPHEN TYLER WILLIAMS (VP OF STRATEGY AND BUSINESS DEVELOP) |
| Authorized Official Telephone | 7067543113 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4705360 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | HEALTHSTAR # | 0930 | 01 |
| GA | PHOENIX HOME LIFE # | 2466081 | 01 |
| GA | CLIA # | 11D0869352 | 01 |
| GA | TRAVELERS RAILROAD MCR # | DA0733 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417128 | The Hospital Authority of Habersham County | Family Medicine | 638 Hwy 441 N Suite B-2, Demorest, GA 30535 | 2018-05-15 |
| 1285847343 | The Hospital Authority of Habersham County | Family Medicine | 801 Austin Drive, Demorest, GA 30535 | 2007-05-07 |
| 1508985714 | The Hospital Authority of Habersham County | Ambulance | 111 Habersham Terrace Gdns, Demorest, GA 30535-4558 | 2007-03-28 |
| 1649302811 | The Hospital Authority of Habersham County | Skilled Nursing Facility | 541 Highway 441 N, Demorest, GA 30535 | 2007-03-12 |
| 1578624185 | The Hospital Authority of Habersham County | Home Health | 1040 Highway 441 N, Demorest, GA 30535-4123 | 2006-12-13 |
| 1740778828 | The Hospital Authority of Habersham County | Clinic/Center | 638 Historic Hwy 441 N, Suite B-1, Demorest, GA 30535 | 2018-04-25 |
| 1639604986 | The Hospital Authority of Habersham County | Family Medicine | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2017-04-25 |
| 1679005144 | The Hospital Authority of Habersham County | Family Medicine | 801 Austin Dr, Demorest, GA 30535-4513 | 2017-04-03 |
| 1801333455 | The Hospital Authority of Habersham County | Nurse Anesthetist, Certified Registered | 541 441 Historic Hwy N, Demorest, GA 30535-4528 | 2017-01-20 |
| 1548644586 | The Hospital Authority of Habersham County | Pharmacy | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-07-18 |
| Street Address |
17 WHITE STREET |
| City | CLEVELAND |
| State | GA |
| Zip Code | 30528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154914 | Syah, LLC | Internal Medicine | 142 Parkway Plaza, Cleveland, GA 30528 | 2018-11-30 |
| 1528478328 | Cleveland Drug Co Inc | Pharmacy | 184 West Kytle Street, Suite A, Cleveland, GA 30528 | 2014-05-01 |
| 1467738377 | Dr. Don Robbins Inc. | Optometrist | 514 West Kytle St., Cleveland, GA 30528 | 2011-10-25 |
| 1902080138 | Dr. Don Robbins Inc | Optometrist | 514 W Kytle St., Cleveland, GA 30528 | 2007-12-24 |
| 1013101617 | Abbastar, Inc | Chiropractor | 783 S. Main St., Suite 10, Cleveland, GA 30528 | 2007-08-28 |
| 1023210044 | Peachtree Pharmacy Services | Pharmacist | 1018 South Main Str, Hwy 129 Suite A, Cleveland, GA 30528 | 2007-06-01 |
| 1568591113 | Clare Stinespring | Physical Therapist | 34 Courthouse Square, Cleveland, GA 30528 | 2007-03-02 |
| 1811038359 | Joanne Holt Edmondson | Counselor | 42 North Avenue Suite 100, Cleveland, GA 30528 | 2007-02-09 |
| 1700931037 | Associates of Family Dentistry | Dentist | 549 South Main St, Cleveland, GA 30528 | 2007-01-25 |
| 1457406829 | Richard (ricky) D Wilbanks | Dentist | 56 Allison Dr, Cleveland, GA 30528 | 2007-01-24 |
| Find all providers in zip 30528 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
| 1518429240 | Care Alliance | Family Medicine | 4050 Superior Ave Fl 3, Cleveland, OH 44103-1128 | 2019-04-02 |
| 1659808236 | Tara K Iyer | Family Medicine | Women's Health Institute 9500 Euclid Ave A81, Cleveland, OH 44195-0001 | 2017-05-15 |
| 1972958072 | Matthew Novin | Family Medicine | 15105 St Clair Ave, Cleveland, OH 44110-1111 | 2016-04-27 |
| 1235519166 | Michelle Caster | Family Medicine | 11100 Euclid Ave # B200, Cleveland, OH 44106 | 2015-06-05 |
| 1437545720 | Keisha Danielle Sullivan | Family Medicine | 11100 Euclid Ave Fl Bolwell6, Cleveland, OH 44106 | 2015-04-13 |
| 1356747679 | Rmi Holding Corporation, Inc | Family Medicine | 3854 Candies Creek Ln Nw, Cleveland, TN 37312-1863 | 2014-11-13 |
| 1326450123 | Anna Camille Moreno | Family Medicine | 9500 Euclid Ave # A1-854, Cleveland, OH 44195-1101 | 2014-05-28 |
| 1568874816 | Garrett L Kirkpatrick | Family Medicine | The Cleveland Clinic Foundation 9500 Euclid Ave, Cleveland, OH 44195-4420 | 2014-05-21 |
| 1104250448 | Aaron Doss Samuel | Family Medicine | 3178 Chestnut Cir Nw, Cleveland, TN 37312-2137 | 2013-08-22 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.