Active NPI
The Raisig Clinic and Wellness Center
- Family Medicine Physician
- Ellijay, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 055290
- Legal business name
- THE RAISIG CLINIC AND WELLNESS CENTER
- Practice address
- 60 Highland CT Ste 101
Ellijay, GA 30540-6773 - Phone
- (706) 698-3627
- Fax
- (706) 698-3630
- NPI assigned
- Dec 17, 2007
- Last updated
- Oct 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William George Raisig
- Title
- Provider
- Phone
- (706) 698-3627
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000494 | GA | |
| Family Medicine Physician | 207Q00000X | 055290 | GA | Primary |
Addresses
Primary practice location
60 Highland CT Ste 101
Ellijay, GA 30540-6773
Mailing address
60 Highland CT Ste 101
Ellijay, GA 30540-6773
Phone (706) 698-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD7615 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1034611 | Raisig Clinic & Wellness Center, the | Certificate of waiver | Mar 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
60 Highland Ct
Ellijay, GA 30540
Phone (706) 698-3627
64 Call Wright Rd
Ellijay, GA 30540
Phone (706) 699-3627
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Ellijay, GA
- NPI 1184614240
-
- Family Nurse Practitioner
- Ellijay, GA
- NPI 1558753525
-
- Nurse Practitioner
- Jasper, GA
- NPI 1235624347
-
- Gerontology Nurse Practitioner
- Ellijay, GA
- NPI 1467113696
-
- Family Nurse Practitioner
- Blairsville, GA
- NPI 1396348280
-
- Nurse Practitioner
- Blairsville, GA
- NPI 1275106783
-
- Family Medicine Physician
- East Ellijay, GA
- NPI 1386560860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602201600000",
"number": "1063695724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HIGHLAND CT STE 101",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305406773",
"telephone_number": "706-698-3627",
"fax_number": "706-698-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HIGHLAND CT STE 101",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305406773",
"telephone_number": "706-698-3627",
"fax_number": "706-698-3630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE RAISIG CLINIC AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A",
"authorized_official_last_name": "RAISIG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "706-698-3627"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "000494",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "055290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD7615",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellijay, GA
- Donna Greene Sweat, FNP-C
- Talbot Dental Associates PC
- Travis Tarleton
- Terrance Taylor
- The Atlanta Cardiology Group, PC (ACG Ellijay)
- Timothy Alan Parker OD LLC
- Tri-County Ambulance Service
- Leslie Margaret Turner, BSN,RN,IBCLC
- Village Podiatry Group, LLC (Village Podiatry Centers)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1070)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.