GEORGIA HIGHLANDS MEDICAL SERVICES, INC (NPI# 1811501455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811501455 |
| Entity Type | Organization |
| Organization Name | GEORGIA HIGHLANDS MEDICAL SERVICES, INC |
| Practice Address |
210 Oakside Ln Canton GA 30114-6417 |
| Mailing Address |
Po Box 307 Cumming GA 30028-0307 |
| Practice Telephone | 6788071050 |
| Practice Fax Number | 7707207384 |
| Mailing Telephone | 6788071050 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | KAREN D BRUCE (CREDENTIALING) |
| Authorized Official Telephone | 4702971004 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA HIGHLANDS MEDICAL SERVICES, 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 |
| Other Name | Type Code |
|---|---|
| GHMS Canton Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124565650 | Georgia Highlands Medical Services, Inc | Clinic/Center | 5959 Highway 53 E, Suite 100, Dawsonville, GA 30534-9511 | 2017-01-23 |
| 1407306418 | Georgia Highlands Medical Services, Inc | Clinic/Center | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2016-10-13 |
| Street Address |
210 OAKSIDE LN |
| City | CANTON |
| State | GA |
| Zip Code | 30114-6417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902819667 | Nandhakumar Kanagarajan | Internal Medicine | 210 Oakside Ln, Suite C, Canton, GA 30114-6417 | 2006-08-14 |
| 1568670701 | Dennis Garrett Mckenna | Physician Assistant | 210 Oakside Ln, Suite C, Canton, GA 30114-6417 | 2007-05-20 |
| 1205901022 | Atlanta Heart Center LLP | Specialist | 210 Oakside Ln, Suite C, Canton, GA 30114-6417 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1619319043 | Richard D Watkins Canton Community Clinic, Inc | Clinic/Center | 3015 Mahoning Rd Ne, Canton, OH 44705-3335 | 2013-07-26 |
| 1013034636 | Mallory Community Health | Clinic/Center | 276 Nissan Parkway, Building C, Suite 100, Canton, MS 39046 | 2007-03-26 |
| 1063419422 | Georgia Highlands Medical Services, Inc. | Clinic/Center | 220 Oakside Ln, Canton, GA 30114-6413 | 2005-06-30 |
| 1013569847 | G A Carmichael Family Health Center, Inc. | Clinic/Center | 1668 W Peace St, Canton, MS 39046-5332 | 2019-07-11 |
| 1427593409 | Great Salt Plains Health Center | Clinic/Center | 310 E. Walnut Street, Canton, OK 73724 | 2016-12-29 |
| 1851592034 | Lifecare Family Health and Dental Center, Inc | Clinic/Center | 408 9th St Sw, Canton, OH 44707-4714 | 2007-05-29 |
| 1720289903 | Richard D Watkins Canton Community Clinic, Inc. | Clinic/Center | 2725 Lincoln St E, Canton, OH 44707-2769 | 2007-05-29 |
| 1801952809 | G A Carmichael Family Health Center Inc | Clinic/Center | 1668 West Peace Street, Canton, MS 39046 | 2006-12-28 |
| 1013964923 | Lifecare Family Health and Dental Center, Inc | Clinic/Center | 2725 Lincoln St E, Canton, OH 44707-2769 | 2006-05-27 |
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| 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 |
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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.