EAST GEORGIA HEALTHCARE CENTER, INC. (NPI# 1487892857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487892857 |
| Entity Type | Organization |
| Organization Name | EAST GEORGIA HEALTHCARE CENTER, INC. |
| Practice Address |
118 E Broad St Mount Vernon GA 30445-3018 |
| Mailing Address |
128 S Main St Swainsboro GA 30401-3618 |
| Practice Telephone | 4782372638 |
| Practice Fax Number | 4782379138 |
| Mailing Telephone | 4782376262 |
| Mailing Fax Number | 4782376221 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | JILL R SORRELLS (CFO) |
| Authorized Official Telephone | 4782376262 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000632376K | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821270323 | East Georgia Healthcare Center, Inc. | Clinic/Center | 34 Nw Broad St, Metter, GA 30439-4025 | 2007-11-27 |
| 1700820917 | East Georgia Healthcare Center, Inc. | Clinic/Center | 452 Second St, Soperton, GA 30457-3004 | 2006-06-16 |
| 1093754905 | East Georgia Healthcare Center, Inc. | Clinic/Center | 117 Memorial Dr, Reidsville, GA 30453-4641 | 2006-06-06 |
| 1790924918 | East Georgia Healthcare Center, Inc. | Clinic/Center | 118 Alice Coleman Dr, Vidalia, GA 30474-8860 | 2009-02-11 |
| 1477738417 | East Georgia Healthcare Center, Inc. | Clinic/Center | 125b Victory Dr, Swainsboro, GA 30401-3234 | 2008-01-09 |
| 1821126400 | East Georgia Healthcare Center, Inc. | Clinic/Center | 1570 Brampton Ave, Statesboro, GA 30458-0855 | 2007-03-02 |
| 1831144971 | East Georgia Healthcare Center, Inc. | Clinic/Center | 215 N Coleman St, Swainsboro, GA 30401-3530 | 2006-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAST GEORGIA HEALTHCARE CENTER, INC. | 215 N Coleman St, Swainsboro, GA 30401-3530 |
| Street Address |
118 E BROAD ST |
| City | MOUNT VERNON |
| State | GA |
| Zip Code | 30445-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780179390 | Laurie Hutchins | Nurse Practitioner | 118 E Broad St, Mount Vernon, GA 30445-3018 | 2018-06-26 |
| 1457730574 | Sebrina Madelyn Watkins | Physician Assistant | 118 E Broad St, Mount Vernon, GA 30445-3018 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396175345 | Allcare PC | Pharmacy | 115 Spring St, Mount Vernon, GA 30445 | 2013-11-12 |
| 1760750467 | Lower Oconee Community Hospital, Inc. | Family Medicine | 421 W Robinson Drive, Mount Vernon, GA 30445 | 2011-12-08 |
| 1982819124 | Duncan Mcrae House, Inc | Assisted Living Facility | 129 South Railroad Avenue, Mt. Vernon, GA 30445 | 2007-05-11 |
| 1972729580 | Meadows Regional Medical Center | Clinic/Center | 201 W. Sutton St., Mount Vernon, GA 30445 | 2007-04-18 |
| 1255409215 | County of Montgomery Health Department | Public Health or Welfare | 218 West Broad Street, Mt. Vernon, GA 30445 | 2006-11-30 |
| 1578633418 | Montgomery County Board of Education | Local Education Agency (LEA) | 403 Fulton St, Mount Vernon, GA 30445 | 2006-11-08 |
| 1194868539 | Mount Vernon Drug Company | Pharmacist | 421 S Railroad Ave, Mount Vernon, GA 30445-0195 | 2007-02-15 |
| 1497751077 | Montgomery Medical Equipment, Inc. | Pharmacy | 103 S Richardson St, Mount Vernon, GA 30445-2611 | 2005-06-28 |
| 1164547287 | Lower Oconee Community Hospital, Inc | Clinic/Center | 441 W Broad Street, Mount Vernon, GA 30445-2629 | 2007-03-20 |
| 1659741221 | Shonda Lafaye Madison | Counselor | 1110 N Minnie St, Mount Vernon, GA 30445-2716 | 2015-09-25 |
| Find all providers in zip 30445 | ||||
| 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 |
|---|---|---|---|---|
| 1639474778 | Mobile County Board of Health | Clinic/Center | 950 East Coy Smith Hwy, Mount Vernon, AL 36560-3201 | 2011-01-21 |
| 1437310463 | Sea-mar Community Health Center | Clinic/Center | 2426 E College Way, Mount Vernon, WA 98273-5874 | 2008-06-23 |
| 1972698199 | Mobile County Board of Health | Clinic/Center | 1080 Reservation Rd, Mount Vernon, AL 36560 | 2006-10-04 |
| 1396736120 | Mount Vernon Neighborhood Health Center, Inc. | Clinic/Center | 107 W 4th St, Administration, Mount Vernon, NY 10550-4002 | 2005-11-01 |
| 1740727510 | Knox County General Health District | Clinic/Center | 11660 Upper Gilchrist Rd, Mount Vernon, OH 43050-9084 | 2017-01-31 |
| 1437407723 | Health Help Incorporated | Clinic/Center | 116 Progress Dr, Mount Vernon, KY 40456 | 2012-08-17 |
| 1023247541 | Sea-mar Community Health Center | Clinic/Center | 125 N 18th St Ste A, Mount Vernon, WA 98273 | 2009-07-06 |
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|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 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 | ||||
| City | MOUNT VERNON |
| Zip Code | 30445 |
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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.