NPIMap

Organization Active NPI

Community Health Care Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Sparta, GA
National Provider Identifier
1023724150
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CARE SYSTEMS, INC
Practice address
11145 Ga Highway 15
Sparta, GA 31087-4121
Phone
(706) 444-5775
Fax
(478) 864-1288
NPI assigned
Jan 23, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Carla W Belcher
Title
Ceo
Phone
(478) 552-7384

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2254266Community Health Care Systems, Inc - Hancock CSBC11145 Ga Highway 15, Sparta, GA 31087Provider-performed microscopyMar 1, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Federally qualified health center certification: CCN 851858

Medicare enrollment files
Legal name
COMMUNITY HEALTH CARE SYSTEMS, INC.
Doing business as
COMMUNITY HEALTH CARE SYSTEMS, INC-HANCOCK SCHOOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 21, 2023
Last certification
Jun 21, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1992 in GA
Enrollment address
11145 Ga Highway 15
Sparta, GA 31087-4121

All disclosed owners & managing parties 16

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kristie Brantely Individual Corporate OfficerBoard Member Oct 27, 2022
Jeremy Kelley Individual Corporate OfficerBoard Member Oct 27, 2022
Cathy Ivey Individual Corporate OfficerBoard Chair Oct 27, 2022
Michelle Stewart Individual Corporate OfficerBoard Member Oct 27, 2022
Atlean Wilcher Individual Corporate OfficerBoard Member Oct 27, 2022
Susan Knox Individual Corporate OfficerBoard Member Oct 27, 2022
David Montford Individual Corporate OfficerBoard Member Oct 27, 2022
John Williams Individual Corporate OfficerBoard Member Oct 27, 2022
Jean Channell Individual Corporate OfficerBoard Member Oct 27, 2022
Martha Taylor Individual Corporate OfficerBoard Member Oct 27, 2022
Lynn W Price Individual W-2 Managing EmployeeW 2 Employee Insurance Billing Oct 27, 2022
Frank Smith Individual Corporate OfficerBoard Member Oct 27, 2022
Pat Lyons Individual Corporate OfficerBoard Member Oct 27, 2022
Mary Cook Individual Corporate OfficerBoard Member Oct 27, 2022
Carla Belcher Individual Corporate DirectorCeo Oct 27, 2022
W-2 Managing EmployeeCeo Oct 27, 2022
David Hartley Individual Corporate OfficerBoard Member Oct 27, 2022

All facility ownership & control disclosures 2

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Care Systems, Inc-BaldwinMilledgeville, GA, CCN 111022 Federally qualified health center Operational/Managerial Control Sep 1, 2015
Community Health Care Systems, Inc.Macon, GA, CCN 111112 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 22, 2017
May 22, 2017

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20230621001906 GA Part a Provider - Federally Qualified Health Center (FQHC) 5890783179 Practice locations: Sparta, GA

National Provider Directory

National Provider Directory
Tax ID family
Johnson County Center for Community Health (20 organizations share this tax ID)

Locations

11145 GA Highway 15
Sparta, GA 31087
Phone (706) 444-5775

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

11145 Ga Highway 15
Sparta, GA 31087-4121

Mailing address

PO Box 371
Wrightsville, GA 31096-0371
Phone (478) 864-3448

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2026.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1023724150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "310960371",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11145 GA HIGHWAY 15",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310874121",
            "telephone_number": "706-444-5775",
            "fax_number": "478-864-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CARE SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-552-7384"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, GA

Sources for this page

Verify at the official NPI Registry.