NPIMap

Organization Active NPI

Good Samaritan Health & Wellness Center Inc.

Doing business as Dragon Care

  • Federally Qualified Health Center (FQHC)
  • Jasper, GA
National Provider Identifier
1215828819
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GOOD SAMARITAN HEALTH & WELLNESS CENTER INC.
Doing business as
Dragon Care
Practice address
1802 Refuge Rd
Jasper, GA 30143-4934
Phone
(706) 253-4633
Fax
(706) 253-4631
NPI assigned
Jul 11, 2025
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD SAMARITAN HEALTH & WELLNESS CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Tammi W Sorrells
Title
Ceo
Phone
(770) 815-0986

Specialties & licenses 1

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

Addresses

Primary practice location

1802 Refuge Rd
Jasper, GA 30143-4934

Mailing address

175 Samaritan Dr
Jasper, GA 30143-1964
Phone (706) 253-4633

Other names 1

  • Dragon Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215828819. Details of each certification follow.

  • CCN C21051 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN C21051

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DRAGON CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 5, 2025
Last certification
Dec 5, 2025
Ownership / control type
For profit – corporation
Facility address
1802 Refuge Rd
Big Canoe, GA 30143

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2328077Dragon Care/ Good Samaritan Health1802 Refuge Road, Jasper, GA 30143Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Health Wellness Center2 organizations share this tax ID, including this one
Part of
Good Samaritan Health Wellness Center

Other organizations with this tax ID 1

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

Locations

1802 Refuge Rd
Jasper, GA 30143
Phone (706) 253-4633

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJECDA

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.

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1215828819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SAMARITAN DR",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431964",
            "telephone_number": "706-253-4633",
            "fax_number": "706-253-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 REFUGE RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434934",
            "telephone_number": "706-253-4633",
            "fax_number": "706-253-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HEALTH & WELLNESS CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN HEALTH & WELLNESS CENTER INC.",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "SORRELLS",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-815-0986"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dragon Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.