THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY (NPI# 1689736282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689736282 |
| Entity Type | Organization |
| Organization Name | THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY |
| Practice Address |
541 441 Historic Hwy N Demorest GA 30535-4528 |
| Mailing Address |
Po Box 37 Demorest GA 30535-0037 |
| Practice Telephone | 7067542161 |
| Practice Fax Number | 7067547300 |
| Mailing Telephone | 7067542161 |
| Mailing Fax Number | 7067547300 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | MS. BARBARA H DUNCAN (CFO) |
| Authorized Official Telephone | 7067542161 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
4705360 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHIELD | 000185 | 01 |
| SC | 10185B | 05 | |
| GA | LICENSE # | 4705360 | 01 |
| NC | 1100041 | 05 | |
| GA | 00000877A | 05 | |
| FL | 0929352-00 | 05 |
| 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 |
| 1285767053 | The Hospital Authority of Habersham County | Family Medicine | 17 White Street, Cleveland, GA 30528 | 2007-03-13 |
| 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 |
| Street Address |
541 441 HISTORIC HWY N |
| City | DEMOREST |
| State | GA |
| Zip Code | 30535-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831176981 | Steven J Rector | Emergency Medicine | 541 441 Historic Hwy N, Demorest, GA 30535-4528 | 2005-12-29 |
| 1811437130 | Total Care Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 541 441 Historic Hwy N, Demorest, GA 30535-4528 | 2017-03-06 |
| 1801333455 | The Hospital Authority of Habersham County | Nurse Anesthetist, Certified Registered | 541 441 Historic Hwy N, Demorest, GA 30535-4528 | 2017-01-20 |
| 1346786225 | Jeremy Webb | Nurse Anesthetist, Certified Registered | 541 441 Historic Hwy N, Demorest, GA 30535-4528 | 2017-01-16 |
| 1558493726 | The Hospital Authority of Habersham County | Medicare Defined Swing Bed Unit | 541 441 Historic Hwy N, Demorest, GA 30535-4528 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353355 | Kristen Diana Maxwell X | Nurse Practitioner | 396 Historic Highway 441 North, Demorest, GA 30535 | 2020-07-16 |
| 1659925972 | Jared Davis | Physical Therapist | 541 Historic Hiwy 441, Demorest, GA 30535 | 2019-07-25 |
| 1669939070 | Habersham Medical Center Foundation, Inc. | Pharmacy | 541 Old Historic Hwy 441 N Ste 1, Demorest, GA 30535 | 2019-02-22 |
| 1114417128 | The Hospital Authority of Habersham County | Family Medicine | 638 Hwy 441 N Suite B-2, Demorest, GA 30535 | 2018-05-15 |
| 1578077434 | Linh My Dao | Registered Nurse | 541 Historic Hwy. 441-n, Demorest, GA 30535 | 2017-11-29 |
| 1447797063 | Cmvo, LLC | Pharmacy | 4654 Highway 115, Unit 1, Demorest, GA 30535 | 2017-01-20 |
| 1851741128 | Katherine Glenn | Physical Therapy Assistant | 541 Us-441 Bus, Demorest, GA 30535 | 2016-06-17 |
| 1558735886 | Waterfall Emergency Physicians, LLC | Physician Assistant | 541 Historic Hwy 441n, Demorest, GA 30535 | 2015-11-24 |
| 1407278237 | Deborah Gale | Pharmacist | 116 Savannah Ter, Demorest, GA 30535 | 2014-01-14 |
| 1538580576 | Garrett Family Medicine, LLC | Family Medicine | 590 Historic Hwy 441 Lower Level, Demorest, GA 30535 | 2013-12-18 |
| Find all providers in zip 30535 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972969160 | Debra D Rathbun | General Acute Care Hospital | 192 Lobinger Ave, Fitzgerald, GA 31750-8181 | 2016-01-05 |
| 1326304486 | Ty Cobb Regional Medical Center LLC | General Acute Care Hospital | 367 Clear Creek Parkway, Lavonia, GA 30553 | 2012-04-03 |
| 1053400689 | Bacon Co. Health Services, Inc. | General Acute Care Hospital | 3406 Wildwood Ave., Patterson, GA 31557-5065 | 2006-10-12 |
| 1518051556 | Eugene Suarez Rodillo | General Acute Care Hospital | 111 South Webb Street, Hartwell, GA 30643 | 2006-10-03 |
| 1245248624 | Hospital Authority of Ben Hill | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-08-03 |
| 1700851649 | Crisp Regional Hospital Inc | General Acute Care Hospital | 902 7th St North, Cordele, GA 31010 | 2006-02-22 |
| 1558334334 | Mayo Clinic Health System In Waycross, Inc | General Acute Care Hospital | 1900 Tebeau Street, Waycross, GA 31501 | 2006-02-10 |
| 1588646251 | Wheeler County Hospital | General Acute Care Hospital | 111 N Third St, Glenwood, GA 30428-2301 | 2005-11-17 |
| 1952395097 | Southern Health Corp of Ellijay | General Acute Care Hospital | 1362 S Main St, 822 Industrial Blvd; 60 Old Highway 5 South, Ellijay, GA 30540-5410 | 2005-09-05 |
| 1588661672 | Americus & Sumter County Hospital Authority | General Acute Care Hospital | 100 Wheatley Dr, Americus, GA 31709-3788 | 2005-07-05 |
| 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.