NPIMap

Organization Active NPI

Chatuge Regional Hospital Inc

Doing business as Hayesville Family Practice

  • Rural Health Clinic/Center
  • Hayesville, NC
National Provider Identifier
1093879744
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHATUGE REGIONAL HOSPITAL INC
Doing business as
Hayesville Family Practice
Practice address
506 NC 69
Hayesville, NC 28904
Phone
(828) 389-2273
NPI assigned
Dec 20, 2006
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Nick Townsend
Title
Cfo
Phone
(706) 439-6469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

506 NC 69
Hayesville, NC 28904

Mailing address

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (828) 389-2273

Other identifiers 1

IdentifierTypeStateIssuer
018EROtherNCBCBS GROUP

Other names 1

  • HAYESVILLE FAMILY PRACTICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150311002273 NC Part A Provider - Rural Health Clinic 0840196523 Practice locations: Hayesville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093879744. Details of each certification follow.

Rural health clinic certification: CCN 343456

Legal name
CHATUGE REGIONAL HOSPITAL INC
Doing business as
HAYESVILLE FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 4, 2015
Last certification
Sep 2, 2021
Ownership / control type
2A
Organization structure
OtherNon-profit
Incorporated
Dec 20, 1999 in GA
Enrollment address
506 NC 69
Ste a
Hayesville, NC 28904-9683
Related CCNs
111324

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory

Locations

450 Highway 64 Business
Hayesville, NC 28904

450 Highway 64 Business
Ste 4
Hayesville, NC 28904
Phone (828) 389-2273

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Rick Davenport Individual Corporate DirectorBoard Member Jan 1, 2019
Chatuge Regional Hospital Inc Organization, Hiawassee, GA Operational/Managerial Control Sep 12, 2014 100%
Greg Owenby Individual Corporate DirectorBoard Member Jan 1, 2019
Sidney C Mahan Individual Other May 1, 2022
Nicholas C Townsend Individual Corporate OfficerCfo Dec 7, 2017
Thomas D Gary Individual Corporate DirectorBoard Member Jan 1, 2019
Dinah Paris Individual Corporate DirectorVice-Chairperson Jan 26, 2012
Steven Rowe Individual Corporate Director Aug 1, 2012
Kevin L Bierschenk Individual Corporate DirectorChief Executive Officer Feb 25, 2019
W-2 Managing EmployeeChief Executive Officer Feb 25, 2019

Owners & managing parties with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1093879744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "828-389-2273",
            "fax_number": "828-389-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 NC 69",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "28904",
            "telephone_number": "828-389-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATUGE REGIONAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-439-6469"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "018ER",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAYESVILLE FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HAYESVILLE FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayesville, NC

Sources for this page

Verify at the official NPI Registry.