NPIMap

Organization Active NPI

Stephens County Hospital Physician Group, LLC

Doing business as SCHPG-Wound Care

  • Wound Care Registered Nurse
  • Toccoa, GA
National Provider Identifier
1285217414
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP, LLC
Doing business as
SCHPG-Wound Care
Practice address
1025 Falls Rd
Toccoa, GA 30577-2422
Phone
(706) 282-4200
Fax
(706) 886-8045
NPI assigned
May 5, 2021
Last updated
May 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Michael S Hester
Title
Ceo
Phone
(912) 369-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NU Primary

Addresses

Primary practice location

1025 Falls Rd
Toccoa, GA 30577-2422

Mailing address

1025 Falls Rd
Toccoa, GA 30577-2422
Phone (706) 282-4200

Other names 1

  • SCHPG-Wound Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160104001195 GA Part B Supplier - Clinic/Group Practice 7012219306 Receives reassigned benefits from 28 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hartwell, GA; Toccoa, GA; Clayton, GA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

189 Bo James St
Ste 105
Clayton, GA 30525
Phone (706) 782-0016

115 Rock Quarry Rd
Toccoa, GA 30577
Phone (706) 282-5815

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1285217414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 FALLS RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772422",
            "telephone_number": "706-282-4200",
            "fax_number": "706-886-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 FALLS RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772422",
            "telephone_number": "706-282-4200",
            "fax_number": "706-886-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-369-9400"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHPG-Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.