GEORGIA HIGHLANDS MEDICAL SERVICES, INC (NPI# 1407306418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407306418 |
| Entity Type | Organization |
| Organization Name | GEORGIA HIGHLANDS MEDICAL SERVICES, INC |
| Other Organization Name | HIGHLANDS MEDICAL PLAZA |
| Practice Address |
475 Tribble Gap Rd Cumming GA 30040-2478 |
| Mailing Address |
Po Box 307 Cumming GA 30028-0307 |
| Practice Telephone | 7708871668 |
| Practice Fax Number | 7707819937 |
| Mailing Telephone | 7708871668 |
| Mailing Fax Number | 7707819937 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | MR. TODD SHIFFLET (CEO) |
| Authorized Official Telephone | 7708871668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Highlands Medical Plaza | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124565650 | Georgia Highlands Medical Services, Inc | Clinic/Center | 5959 Highway 53 E, Suite 100, Dawsonville, GA 30534-9511 | 2017-01-23 |
| 1811501455 | Georgia Highlands Medical Services, Inc | Clinic/Center | 210 Oakside Ln, Canton, GA 30114-6417 | 2020-09-01 |
| Street Address |
475 TRIBBLE GAP RD |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-2478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134197502 | Nandor A. Kalli | Pediatrics | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2006-03-10 |
| 1023589454 | Jasmine Diane Mccorkle Shytle | Registered Nurse | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2018-12-11 |
| 1972037109 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2017-04-14 |
| 1528231321 | Pragya P Verma | Pediatrics | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2008-04-11 |
| 1245270032 | Jennifer Ann Fox | Nurse Practitioner | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529192 | Georgia Highlands Medical Services, Inc. | Clinic/Center | 260 Elm St, Cumming, GA 30040-2467 | 2005-06-23 |
| 1235677469 | Georgia Highlands Medical Services Inc. | Clinic/Center | 260 Elm St, Cumming, GA 30040-2467 | 2017-02-08 |
| 1194987412 | Georgia Highlands Medical Services Inc | Clinic/Center | 100 Professional Park Dr, Cumming, GA 30040-2380 | 2008-06-27 |
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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 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 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 | ||||
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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.