NPIMap

Organization Active NPI

Adventist Health System Georgia Inc

Doing business as AdventHealth Summerville Clinic

  • Rural Health Clinic/Center
  • Summerville, GA
National Provider Identifier
1114837010
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ADVENTIST HEALTH SYSTEM GEORGIA INC
Doing business as
AdventHealth Summerville Clinic
Practice address
9777 Rome Blvd
Summerville, GA 30747-1629
Phone
(706) 368-8899
Fax
(706) 784-9389
NPI assigned
Sep 11, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Kirstie Questell
Title
Cfo
Phone
(407) 303-2505

Specialties & licenses 1

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

Addresses

Primary practice location

9777 Rome Blvd
Summerville, GA 30747-1629

Mailing address

PO Box 12938
Calhoun, GA 30703-7013
Phone (706) 602-7800

Other names 1

  • AdventHealth Summerville Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adventist Health System Georgia Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

9777 Rome Blvd
Summerville, GA 30747
Phone (706) 368-8899

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1114837010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12938",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307037013",
            "telephone_number": "706-602-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 ROME BLVD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307471629",
            "telephone_number": "706-368-8899",
            "fax_number": "706-784-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "QUESTELL",
        "authorized_official_first_name": "KIRSTIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-303-2505"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Summerville Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.