NPIMap

Organization Active NPI

NGMC Lumpkin, LLC

  • General Acute Care Hospital
  • Dahlonega, GA
National Provider Identifier
1083174973
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
NGMC LUMPKIN, LLC
Practice address
495 Highway 400
Dahlonega, GA 30533-6823
Phone
(770) 219-9000
NPI assigned
Mar 25, 2019
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brian D Steines
Title
VP of Finance
Phone
(770) 219-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

495 Highway 400
Dahlonega, GA 30533-6823

Mailing address

PO Box 741891
Atlanta, GA 30374-1891
Phone (770) 219-5911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191218001869 GA Part A Provider - Hospital 1759614019 Practice locations: Dahlonega, GA
O20220831002130 GA Part B Supplier - Clinic/Group Practice 1759614019 Receives reassigned benefits from 9 practitioners
Practice locations: Dahlonega, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083174973. Details of each certification follow.

Hospital certification: CCN 110237

Legal name
NGMC LUMPKIN, LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 15, 2019
Last certification
Sep 4, 2025
Beds
52 (10 certified)
Ownership / control type
Other
Organization structure
LLCNon-profit
Incorporated
Mar 17, 2018 in GA
Enrollment address
495 Highway 400
Dahlonega, GA 30533-6823
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Northeast Georgia Medical Center LumpkinCCN 110237 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Alexander a. Wayne Individual Corporate DirectorBoard Vice Chair Jul 1, 2019
Northeast Georgia Health System Inc Organization, Gainesville, GA Corporation 5% Or Greater Direct Ownership Interest Jul 1, 2019 100%
Brian D Steines Individual Corporate OfficerCfo Jul 1, 2019
Corporate DirectorVice Chair Board of Managers Jul 19, 2019
W-2 Managing EmployeeCfo Jul 1, 2019
Cynthia Green Individual Corporate DirectorBoard Member Feb 1, 2025
Mohak Dave Individual Corporate DirectorBoard Member Jul 1, 2019
Glennis Barnes Individual Corporate DirectorBoard Member Feb 1, 2025
Phillippa Moss Individual Corporate DirectorBoard Member, Ex Officio Feb 1, 2025
Deepak K Aggarwal Individual Corporate DirectorBoard Member Feb 1, 2025
Letrell Simpson Individual Corporate DirectorBoard Member Feb 1, 2025
Semuel Maysonet Individual Corporate DirectorBoard Vice Chair Feb 1, 2025
Greg Ours Individual Corporate DirectorBoard Member Feb 1, 2025
Brad Puryear Individual Corporate DirectorBoard Member Feb 1, 2025
William S Price Individual Corporate DirectorBoard Chair Jul 1, 2019
Matthew L Hanley Individual Corporate OfficerCeo Apr 1, 2025
Corporate DirectorBoard Member Apr 1, 2025
Mary L Coyle Individual Corporate DirectorBoard Member Emeritus Jul 1, 2019
Kevin J Matson Individual Corporate DirectorBoard of Managers Feb 1, 2025
Richard K Whitehead Individual Corporate DirectorBoard Member Jul 1, 2019
Philip a Wilheit Individual Corporate DirectorBoard Member Emeritus Jul 1, 2019
Jacquelyn L. Wallace Individual Corporate DirectorBoard Member Jul 1, 2019
Andrea D. Savage Individual W-2 Managing EmployeeExecutive Director/Controller Sep 12, 2024
Pierpont F Brown Individual Corporate DirectorBoard Member Feb 1, 2025
John Kueven Individual Corporate DirectorBoard of Managers Feb 1, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 12

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.

Affiliated clinicians 276

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 276

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1083174973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741891",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741891",
            "telephone_number": "770-219-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HIGHWAY 400",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305336823",
            "telephone_number": "770-219-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGMC LUMPKIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "STEINES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "770-219-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

Verify at the official NPI Registry.