Active NPI
Health First
Doing business as Mountain Valley Medical Center
- Rural Health Clinic/Center
- Dillard, GA
National Provider Identifier
1134316219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- HEALTH FIRST
- Doing business as
- Mountain Valley Medical Center
- Practice address
- 92 Bettys Creek Rd
Dillard, GA 30537-2257 - Phone
- (706) 746-6571
- Fax
- (706) 746-5643
- NPI assigned
- Oct 2, 2007
- Last updated
- Feb 24, 2025
- 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
- Carlie Suzanne Pennington
- Title
- Office Manager
- Phone
- (706) 746-6571
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary | |
| Family Medicine Physician | 207Q00000X | 025380 | GA |
Addresses
Primary practice location
92 Bettys Creek Rd
Dillard, GA 30537-2257
Mailing address
PO Box 444
Dillard, GA 30537-0444
Phone (706) 746-6571
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000273831G | Medicaid | GA | |
| 1669589594 | Other | GA | NPI |
Other names 1
- MOUNTAIN VALLEY MEDICAL CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://epicproxy.et1426.epichosted.com/FHIRProxyPRD/api/FHIR/R4
Practitioners & affiliated clinicians
Practitioners 2
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
- Dillard, GA
- NPI 1669589594
-
- Diagnostic Radiology Physician
- Sautee, GA
- NPI 1184884793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1134316219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 444",
"city": "DILLARD",
"state": "GA",
"postal_code": "305370444",
"telephone_number": "706-746-6571",
"fax_number": "706-746-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 BETTYS CREEK RD",
"city": "DILLARD",
"state": "GA",
"postal_code": "305372257",
"telephone_number": "706-746-6571",
"fax_number": "706-746-5643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH FIRST",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "PENNINGTON",
"authorized_official_first_name": "CARLIE",
"authorized_official_middle_name": "SUZANNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-746-6571"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "025380",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000273831G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1669589594",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MOUNTAIN VALLEY MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dillard, GA
- Cathey Valley Pharmacy Inc
- Cathey Valley Pharmacy, Inc
- Freds Stores of Tennessee Inc (Freds Pharmacy 1429)
- Georgia Mountains Wellness Center, PC
- Raymond Gyselinck Jr, DDS
- Health First (Mountain Valley Medical Center)
- Charlotte Jessandra Jones, DC
- Mason Sawyer DMD LLC (Foothills Dentistry)
- Mountain Valley Medical Center
- Charles Royce Pennington, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.