NPIMap

Organization Active NPI

Community Health Care Systems, Inc

Doing business as Community Health Care Systems Administration & Specialty Services

  • Federally Qualified Health Center (FQHC)
  • Sandersville, GA
National Provider Identifier
1184515694
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CARE SYSTEMS, INC
Doing business as
Community Health Care Systems Administration & Specialty Services
Practice address
220 Morningside Dr
Sandersville, GA 31082-7639
Phone
(478) 241-2427
Fax
(478) 864-1288
NPI assigned
Jul 12, 2025
Last updated
Jul 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Authorized official

Name
Carla W Belcher
Title
Ceo
Phone
(478) 241-2427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

220 Morningside Dr
Sandersville, GA 31082-7639

Mailing address

PO Box 371
Wrightsville, GA 31096-0371
Phone (478) 864-3448

Other names 1

  • COMMUNITY HEALTH CARE SYSTEMS ADMINISTRATION & SPECIALTY SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009004104 GA Part A Provider - Federally Qualified Health Center (FQHC) 5890783179 Practice locations: Sandersville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184515694. Details of each certification follow.

Federally qualified health center certification: CCN C21045

Legal name
COMMUNITY HEALTH CARE SYSTEMS, INC.
Doing business as
COMMUNITY HEALTH CARE SYSTEMS ADMINISTATION AND SPECIALTY SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 7, 2025
Last certification
Oct 7, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
220 Morningside Dr
Sandersville, GA 31082-7639

Other NPIs with the same Medicare PAC ID 17

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

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Community Health Care Systems Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

557A Broad St NW
Crawfordville, GA 30631
Phone 70645615990000

1506 Telfair St
Dublin, GA 31021
Phone (478) 272-3446

218 Milledgeville Hwy
Gordon, GA 31031
Phone (478) 290-1374

4274 Gray Hwy
Gray, GA 31032
Phone (478) 986-2500

144 E Main St
Irwinton, GA 31042
Phone (478) 946-1030

250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362

250 Mlk Blvd
Ste 200
Macon, GA 31201
Phone (478) 301-4500

220 Morningside Dr
Sandersville, GA 31082
Phone (478) 241-2427

1008 Atlanta Hwy
Warrenton, GA 30828
Phone (706) 465-3253

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
Kristie Brantely Individual Corporate OfficerBoard Member Aug 31, 2024
Jeremy Kelley Individual Corporate OfficerBoard Member Aug 31, 2024
Cathy Ivey Individual Corporate OfficerBoard Chairmen Aug 31, 2024
Michelle Stewart Individual Corporate OfficerBoard Member Aug 31, 2024
David Montford Individual Corporate OfficerBoard Member Aug 31, 2024
John Williams Individual Corporate OfficerBoard Vice Chair Aug 31, 2024
Lynn W Price Individual W-2 Managing EmployeeInsurance Billing Coordinator Aug 31, 2024
Frank Smith Individual Corporate OfficerBoard Treasurer Aug 31, 2024
Carla Belcher Individual Corporate DirectorCeo Aug 31, 2024 100%
W-2 Managing EmployeeCeo Aug 31, 2024

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Care Systems, Inc-BaldwinMilledgeville, GA, CCN 111022 Federally qualified health center Operational/Managerial Control Sep 1, 2015
Community Health Care Systems, Inc.Macon, GA, CCN 111112 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 22, 2017
May 22, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 79

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 79

NPI Registry JSON

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752278400000",
    "number": "1184515694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "310960371",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MORNINGSIDE DR",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310827639",
            "telephone_number": "478-241-2427",
            "fax_number": "478-864-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CARE SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-241-2427"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY HEALTH CARE SYSTEMS ADMINISTRATION & SPECIALTY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.