NPIMap

Organization Active NPI

Fannin Regional Hospital Inc

Doing business as Tri County Diagnostic Center

  • Radiology Clinic/Center
  • East Ellijay, GA
National Provider Identifier
1144298548
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
055-452 Issued in GA
Legal business name
FANNIN REGIONAL HOSPITAL INC
Doing business as
Tri County Diagnostic Center
Practice address
772 Maddox Dr
Ste 126
East Ellijay, GA 30540-8194
Phone
(706) 273-2105
NPI assigned
Mar 10, 2006
Last updated
Aug 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FANNIN REGIONAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Laurie Holtsford
Title
Senior VP, Group Operations
Phone
(615) 465-7466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X GA
Radiology Clinic/Center 261QR0200X 055-452 GA Primary

Addresses

Primary practice location

772 Maddox Dr
Ste 126
East Ellijay, GA 30540-8194

Mailing address

PO Box 198161
Atlanta, GA 30384-8161

Other names 1

  • Tri County Diagnostic Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Ridge Georgia Hospital Company LLC2 organizations share this tax ID, including this one
Part of
Blue Ridge Georgia Hospital Company LLC

Other organizations with this tax ID 1

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

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/34788ed7-a88d-487a-bcc2-32b1ec67835d

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1144298548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198161",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 MADDOX DR",
            "address_2": "STE 126",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305408194",
            "telephone_number": "706-273-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN REGIONAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FANNIN REGIONAL HOSPITAL INC",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "055-452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri County Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.