SOUTHERN HEALTH CORP OF ELLIJAY (NPI# 1770774515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770774515 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HEALTH CORP OF ELLIJAY |
| Other Organization Name | NORTH GEORGIA MEDICAL CENTER |
| Practice Address |
1362 S Main St Ellijay GA 30540-5410 |
| Mailing Address |
Po Box 2239 Ellijay GA 30540-0025 |
| Practice Telephone | 7062764741 |
| Practice Fax Number | 7062764745 |
| Mailing Telephone | 7062764741 |
| Mailing Fax Number | 7062764745 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | MS. DEBBIE SELF (CHEIF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7062764741 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 061-435 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1100205 | 05 |
| Other Name | Type Code |
|---|---|
| NORTH GEORGIA MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1962683961 | Southern Health Corp of Ellijay | Family Medicine | 61 Highland Ct, Suite 101, East Ellijay, GA 30540-6777 | 2007-11-19 |
| 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 |
| 1083144109 | Southern Health Corp of Ellijay | Clinic/Center | 1362 S Main St, Ellijay, GA 30540-5410 | 2017-06-13 |
| 1619284445 | Southern Health Corp of Ellijay | General Acute Care Hospital | 772 Maddox Dr, Suite 112, East Ellijay, GA 30540-8194 | 2010-08-31 |
| 1790932655 | Southern Health Corp of Ellijay | Internal Medicine | 190 Hospital Cir, Ellijay, GA 30540-9694 | 2008-08-22 |
| 1407062862 | Southern Health Corp of Ellijay | Clinic/Center | 822 Industrial Blvd, Ellijay, GA 30540-3804 | 2007-05-15 |
| 1275690703 | Southern Health Corp of Ellijay | Medicare Defined Swing Bed Unit | 1362 S Main St, Ellijay, GA 30540-5410 | 2007-01-03 |
| 1902963580 | Southern Health Corp of Ellijay | Nursing Facility/Intermediate Care Facility | 1362 S Main St, Ellijay, GA 30540-5410 | 2007-01-02 |
| Street Address |
1362 S MAIN ST |
| City | ELLIJAY |
| State | GA |
| Zip Code | 30540-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1861954620 | Parkside Operating Company LLC | Skilled Nursing Facility | 1362 S Main St, Ellijay, GA 30540-5410 | 2019-04-02 |
| 1083144109 | Southern Health Corp of Ellijay | Clinic/Center | 1362 S Main St, Ellijay, GA 30540-5410 | 2017-06-13 |
| 1194103788 | Nes of Florida Inc | Emergency Medicine | 1362 S Main St, Ellijay, GA 30540-5410 | 2015-05-14 |
| 1558753525 | Amanda Noe | Registered Nurse | 1362 S Main St, Ellijay, GA 30540-5410 | 2015-02-26 |
| 1851646467 | Stacey Lynne Evans-paulin | Physician Assistant | 1362 S Main St, Ellijay, GA 30540-5410 | 2012-07-19 |
| 1427329218 | Hospitalmd of Georgia Ip, Inc | Emergency Medicine | 1362 S Main St, Ellijay, GA 30540-5410 | 2012-01-25 |
| 1861762064 | Hospitalmd of Georgia, Inc. | Emergency Medicine | 1362 S Main St, Ellijay, GA 30540-5410 | 2012-01-04 |
| 1245473792 | S. Health Corporation of Ellijay | Durable Medical Equipment & Medical Supplies | 1362 S Main St, Ellijay, GA 30540-5410 | 2009-04-14 |
| 1073706073 | Comprehensive Hospitalist of Georgia LLC | Hospitalist | 1362 S Main St, Ellijay, GA 30540-5410 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760929517 | Sandi Lynn Harris | Pharmacist | 192 1st St, East Ellijay, GA 30540 | 2017-01-31 |
| 1194028688 | Heartlite Hospice Ellijay, Inc. | Hospice Care, Community Based | 163 Dalton Street, East Ellijay, GA 30540 | 2010-12-06 |
| 1972816874 | Nicole Penland Bond | Nurse Practitioner | 174 Highland Crossing East, East Ellijay, GA 30540 | 2010-07-20 |
| 1689994477 | Immediate Medcare, LLC | Clinic/Center | 174 Highland Crossing South, East Ellijay, GA 30540 | 2010-06-03 |
| 1316274830 | Huffs Select Care Clinic PC | Clinic/Center | 136-a Industrial Blvd, Ellijay, GA 30540 | 2009-11-04 |
| 1598924615 | Hospice Advantage, LLC. | Hospice Care, Community Based | 583 Highland Xing, Suite 120, East Ellijay, GA 30540 | 2008-06-04 |
| 1083891196 | Roy Elie Abrahamian | Internal Medicine | 309 Highland Pkwy Ste 200, East Ellijay, GA 30540 | 2008-01-31 |
| 1285817213 | Quality Respi-care Inc | Durable Medical Equipment & Medical Supplies | 97 Hefner St Ste 102, East Ellijay, GA 30540 | 2007-12-13 |
| 1275738163 | Jennifer Moss Houle | Technician, Other | 7 Depot Street, Ellijay, GA 30540 | 2007-06-19 |
| 1265633697 | Alicia S Lovelace | Specialist | 630 Blazing Star Rd, Ellijay, GA 30540 | 2007-05-31 |
| Find all providers in zip 30540 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
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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.