SOUTHERN HEALTH CORP OF ELLIJAY (NPI# 1275690703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275690703 |
| 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 | 2007-01-03 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | MS. DEBBIE SELF (CHIEF 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 | 275N00000X | Medicare Defined Swing Bed Unit | 061-435 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GENERAL HOSPITAL | 000692 | 01 |
| GA | 00002043S | 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 |
| 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 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437536372 | University Mcduffie County Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 2460 Washington Road Ne, Thomson, GA 30824-2199 | 2015-04-29 |
| 1588093637 | Premier Healthcare Investments | Medicare Defined Swing Bed Unit | 509 Sumter, Montezuma, GA 31063 | 2013-11-08 |
| 1487817169 | Hosptial Authority of Liberty County | Medicare Defined Swing Bed Unit | 462 Elma G Miles Parkway, Hinesville, GA 31313-4000 | 2008-07-03 |
| 1023287927 | Union County Hospital Authority | Medicare Defined Swing Bed Unit | 35 Hospital Road, Blairsville, GA 30512 | 2008-02-25 |
| 1467663336 | Healthspan LLP | Medicare Defined Swing Bed Unit | 351 Liberty St, Waynesboro, GA 30830-9686 | 2007-05-24 |
| 1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
| 1548315898 | Tift Regional Health System, Inc | Medicare Defined Swing Bed Unit | 260 Mj Taylor Rd, Adel, GA 31620-3485 | 2007-01-25 |
| 1063578862 | Taylor Telfair Regional Hospital, Inc | Medicare Defined Swing Bed Unit | Route # 1 Highway 341 South, Mcrae, GA 31055-0150 | 2006-12-28 |
| 1710099098 | Charlton Memorial Hospital | Medicare Defined Swing Bed Unit | 2449 Third St, Folkston, GA 31537-8919 | 2006-08-31 |
| 1881652212 | Pacer Health Corporation of Ga | Medicare Defined Swing Bed Unit | 1201 Siloam Rd, Greensboro, GA 30642-2811 | 2006-05-03 |
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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.