NPIMap

Organization Active NPI

S. Health Corporation of Ellijay

  • Nursing Facility Supplies (DME)
  • Ellijay, GA
National Provider Identifier
1245473792
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
License
10611232 Issued in GA
Legal business name
S. HEALTH CORPORATION OF ELLIJAY
Doing business as
N. Geogia Medical Center & Gilmer Nursing Home
Practice address
1362 S Main St
Ellijay, GA 30540-5410
Phone
(706) 276-4741
Fax
(706) 276-4645
NPI assigned
Apr 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Ms. Debbie Self, CFO
Title
Chief Financial Officer
Phone
(706) 276-4741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X 10611232 GA Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

1362 S Main St
Ellijay, GA 30540-5410

Mailing address

PO Box 2239
Ellijay, GA 30540-0025
Phone (706) 276-4741

Other names 1

  • N. Geogia Medical Center & Gilmer Nursing Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Heatlh Corp DB6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1245473792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2239",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305400025",
            "telephone_number": "706-276-4741",
            "fax_number": "706-276-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 S MAIN ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405410",
            "telephone_number": "706-276-4741",
            "fax_number": "706-276-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. HEALTH CORPORATION OF ELLIJAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "706-276-4741",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "GA",
            "license": "10611232",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N. Geogia Medical Center & Gilmer Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.