GEORGIA HIGHLANDS MEDICAL SERVICES, INC. (NPI# 1407281058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407281058 |
| Entity Type | Organization |
| Organization Name | GEORGIA HIGHLANDS MEDICAL SERVICES, INC. |
| Other Organization Name | BARTOW FAMILY HEALTH CENTER |
| Practice Address |
775 West Ave Suite A Cartersville GA 30120-3481 |
| Mailing Address |
Po Box 307 Cumming GA 30028-0307 |
| Practice Telephone | 7708871668 |
| Practice Fax Number | 7708873462 |
| Mailing Telephone | 7708871668 |
| Mailing Fax Number | 7708873462 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | MR. TODD SHIFFLET (CEO) |
| Authorized Official Telephone | 7708871668 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA HIGHLANDS MEDICAL SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 300022400A | 05 | |
| GA | 003146289A | 05 |
| Other Name | Type Code |
|---|---|
| Bartow Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419422 | Georgia Highlands Medical Services, Inc. | Clinic/Center | 220 Oakside Ln, Canton, GA 30114-6413 | 2005-06-30 |
| 1174529192 | Georgia Highlands Medical Services, Inc. | Clinic/Center | 260 Elm St, Cumming, GA 30040-2467 | 2005-06-23 |
| 1053702191 | Georgia Highlands Medical Services, Inc. | Pharmacy | 260 Elm St, Cumming, GA 30040-2467 | 2015-02-11 |
| Street Address |
775 WEST AVE SUITE A |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-3481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487621033 | Lee H Battle IIi | Family Medicine | 775 West Ave, Suite A, Cartersville, GA 30120-3481 | 2006-03-02 |
| 1831234335 | Pamela S. Troxel | Chiropractor | 775 West Ave, Suite D, Cartersville, GA 30120-3481 | 2007-02-21 |
| 1538235015 | William B Bishop Jr. | Chiropractor | 775 West Ave, Suite D, Cartersville, GA 30120-3481 | 2006-11-28 |
| 1083711022 | Westside Pharmacy, Inc. | Clinic/Center | 775 West Ave, Suite C, Cartersville, GA 30120-3481 | 2006-09-20 |
| 1104836162 | Cristina Michelle Caro | Dietitian, Registered | 775 West Ave, Suite A, Cartersville, GA 30120-3481 | 2006-08-09 |
| 1861413767 | Westside Family Medicine | Clinic/Center | 775 West Ave, Suite A, Cartersville, GA 30120-3481 | 2006-07-23 |
| 1548297146 | Lori W Millsap | Nurse Practitioner | 775 West Ave, Suite A, Cartersville, GA 30120-3481 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
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| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on GEORGIA HIGHLANDS MEDICAL SERVICES, INC..
| 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.