MEDLINK GEORGIA INC (NPI# 1346299807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346299807 |
| Entity Type | Organization |
| Organization Name | MEDLINK GEORGIA INC |
| Other Organization Name | MEDLINK RABUN |
| Practice Address |
896 Highway 441 S Clayton GA 30525-5423 |
| Mailing Address |
Po Box 459 Colbert GA 30628-0459 |
| Practice Telephone | 7067825991 |
| Practice Fax Number | 7067825111 |
| Mailing Telephone | 7063531516 |
| Mailing Fax Number | 7065461485 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | DAVID WARD (CEO) |
| Authorized Official Telephone | 7067883234 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDLINK GEORGIA INC |
| 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 |
|---|---|---|---|
| NC | 114505A | 05 | |
| GA | 000471765R | 05 |
| Other Name | Type Code |
|---|---|
| MEDLINK RABUN | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829532 | Medlink Georgia Inc | Clinic/Center | 2148 Duluth Hwy Ste 112, Duluth, GA 30097-4505 | 2019-09-04 |
| 1750860508 | Medlink Georgia Inc | Clinic/Center | 137 W Athens St Ste 104, Winder, GA 30680-1786 | 2018-08-13 |
| 1851722524 | Medlink Georgia Inc | Clinic/Center | 396 Historic Hwy 441 N, Demorest, GA 30535-4522 | 2013-12-06 |
| 1568572576 | Medlink Georgia Inc | Clinic/Center | 123 Gordon St, Washington, GA 30673-1601 | 2006-08-30 |
| 1275643272 | Medlink Georgia Inc | Clinic/Center | 63 W Gibson St, Hartwell, GA 30643-1845 | 2006-08-30 |
| 1235249236 | Medlink Georgia Inc | Clinic/Center | 206 E Church St, Bowman, GA 30624-2109 | 2006-08-30 |
| 1245340264 | Medlink Georgia Inc | Clinic/Center | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2006-08-30 |
| 1174177638 | Medlink Georgia Inc | Pharmacy | 396 Historic Hwy 441 N, Demorest, GA 30535 | 2019-08-01 |
| 1669951414 | Medlink Georgia Inc | Clinic/Center | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2018-08-13 |
| 1245732254 | Medlink Georgia Inc | Pharmacy | 11 Charlie Morris Rd, Colbert, GA 30628-2445 | 2018-03-06 |
| Street Address |
896 HIGHWAY 441 S |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679536429 | Shannon L Robinson | Nurse Practitioner | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-04-11 |
| 1548886351 | Alexandra Grace Thompson | Nurse Practitioner | 896 Highway 441 S, Clayton, GA 30525-5423 | 2020-06-18 |
| 1326178120 | Fred Sumner Harris | Social Worker | 896 Highway 441 S, Clayton, GA 30525-5423 | 2007-03-07 |
| 1386730943 | George C King | Family Medicine | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-10-04 |
| 1871699272 | Jennifer Marcellino | Physician Assistant | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-09-15 |
| 1073564480 | Kimberly J Martin | Family Medicine | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-05-12 |
| 1447201876 | Karen J Frank | Family Medicine | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| 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 |
|---|---|---|---|---|
| 1124525183 | Medlink Georgia, Inc | Clinic/Center | 773 N Main St, Clayton, GA 30525-4257 | 2018-04-06 |
| 1710048053 | Southeast Alabama Rural Health Associates | Clinic/Center | 7 Western Byp, Clayton, AL 36016-2013 | 2006-12-12 |
| 1891882676 | Pushmataha Family Medical Center, Inc | Clinic/Center | 109 Stanley Road, Clayton, OK 74536 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on MEDLINK GEORGIA INC.
| 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.