NPIMap

Organization Active NPI

Elbert Memorial Hospital

  • Ambulance
  • Elberton, GA
National Provider Identifier
1134839343
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ELBERT MEMORIAL HOSPITAL
Practice address
4 Medical Dr
Elberton, GA 30635-1830
Phone
(706) 283-3151
NPI assigned
Nov 29, 2022
Organization subpart
Yes
Parent organization
ELBERTON-ELBERT COUNTY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Brandy Scoggins
Title
Chief Government Accountant
Phone
(706) 213-2516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

4 Medical Dr
Elberton, GA 30635-1830

Mailing address

4 Medical Dr
Elberton, GA 30635-1830
Phone (706) 283-3151

Other names 2

  • ELBERT MEMORIAL HOSPITAL Doing business as
  • ELBERT MEMORIAL HOSPITAL MOBILE INTEGRATED HEALTHCARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://emhcare.net/ Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230124001165 GA Part B Supplier - Ambulance Service Supplier 6800889841 Practice locations: Elberton, GA

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Elbert Mem Hospital5 organizations share this tax ID, including this one
Part of
Elbert Mem Hospital

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1134839343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEDICAL DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351830",
            "telephone_number": "706-283-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEDICAL DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351830",
            "telephone_number": "706-283-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBERT MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELBERTON-ELBERT COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "SCOGGINS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "CHIEF GOVERNMENT ACCOUNTANT",
        "authorized_official_telephone_number": "706-213-2516"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://emhcare.net/",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Medical Dr",
            "city": "Elberton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306351830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ELBERT MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELBERT MEMORIAL HOSPITAL MOBILE INTEGRATED HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elberton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.

Verify at the official NPI Registry.