SOUTHERN HEALTH CORP OF ELLIJAY (NPI# 1952395097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952395097 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HEALTH CORP OF ELLIJAY |
| Other Organization Name | NORTH GEORGIA MEDICAL CENTER |
| Practice Address |
1362 S Main St 822 Industrial Blvd; 60 Old Highway 5 South Ellijay GA 30540-5410 |
| Mailing Address |
Po Box 2239 Po Box 1019 Ellijay GA 30540-0025 |
| Practice Telephone | 7062764741 |
| Practice Fax Number | 7062764645 |
| Mailing Telephone | 7062764741 |
| Mailing Fax Number | 7062764645 |
| Enumeration Date | 2005-09-05 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | MS. DEBBIE ANN SELF (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7062764741 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
061435 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00002043A | 05 | |
| NPI BRIAN A ROWAN | 1821059510 | 01 | |
| GA | HAROLD M WATKINS NPI | 1255369005 | 01 |
| GA | APPLE MEDICAL CENTER | 1952395097 | 01 |
| GA | SHANNON PITMAN NPI NUMBER | 1982773891 | 01 |
| GA | NORTH GEORGIA FAMILY PRACTICE | 1952395097 | 01 |
| 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 |
| 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 |
| 1770774515 | Southern Health Corp of Ellijay | General Acute Care Hospital | 1362 S Main St, Ellijay, GA 30540-5410 | 2007-08-07 |
| 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 822 INDUSTRIAL BLVD; 60 OLD HIGHWAY 5 SOUTH |
| City | ELLIJAY |
| State | GA |
| Zip Code | 30540-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1770774515 | Southern Health Corp of Ellijay | General Acute Care Hospital | 1362 S Main St, Ellijay, GA 30540-5410 | 2007-08-07 |
| 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 | 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 |
| 1588661672 | Americus & Sumter County Hospital Authority | General Acute Care Hospital | 100 Wheatley Dr, Americus, GA 31709-3788 | 2005-07-05 |
| 1700883246 | Durall Capital Holdings, LLC | General Acute Care Hospital | 227 Mountain Drive, Dahlonega, GA 30533 | 2005-06-30 |
| 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.