Organization Active NPI

Medlink Georgia, Inc

Doing business as MedLink Rabun Women's Center

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
National Provider Identifier
1306563515
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MEDLINK GEORGIA, INC
Doing business as
MedLink Rabun Women's Center
Practice address
811 Highway 441 N Ste 102
Clayton, GA 30525-4202
Phone
(706) 521-3113
NPI assigned
Oct 27, 2022
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDLINK GEORGIA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Dave Ward
Title
Ceo
Phone
(706) 788-3234

Specialties & licenses 1

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

Addresses

Primary practice location

811 Highway 441 N Ste 102
Clayton, GA 30525-4202

Mailing address

PO Box 459
Colbert, GA 30628-0459
Phone (706) 788-3234

Other names 1

  • MedLink Rabun Women's Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230126000720 GA Part A Provider - Federally Qualified Health Center (FQHC) 3274442850 Practice locations: Clayton, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306563515. Details of each certification follow.

Federally qualified health center certification: CCN 111805

Legal name
MEDLINK GEORGIA INC
Doing business as
MEDLINK RABUN WOMEN'S CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 27, 2023
Last certification
Jan 27, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 29, 1980 in GA
Enrollment address
811 Highway 441 N
Ste 102
Clayton, GA 30525-4202

National Provider Directory

National Provider Directory
Tax ID family
NE Ga Family Med Ctr in47 organizations share this tax ID, including this one
Part of
NE Ga Family Med Ctr in

Other organizations with this tax ID 46

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

View all 46

Locations

811 Highway 441 N
Ste 102
Clayton, GA 30525
Phone (706) 521-3113

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lana Brand Individual Corporate DirectorVolunteer Board of Directors Jul 15, 2025
David Ward Individual Corporate Officer Jan 1, 2015
Christopher Gilley Individual Corporate OfficerCfo Jul 21, 2021
Jessica Smith Individual Corporate DirectorVolunteer Board of Directors Aug 19, 2025
Dennis Kimbrell Individual W-2 Managing EmployeeDirector of Pharmacy Services Aug 17, 2017
Bobby Berryman Individual Corporate Director Feb 22, 1999
Arthur Gorman Individual W-2 Managing EmployeeDirector of Imaging Jan 3, 2022
Marilyn Favors Individual Corporate Director Mar 19, 2009
Merlin Mejia Individual Corporate Director Sep 17, 2019
Angelia R West Individual W-2 Managing EmployeeDirector of Revenue Cycle MGMT Apr 1, 2013
Alexandra Duvall Individual Corporate Director Sep 21, 2021
Joe Fernandez Individual Corporate Director Jun 17, 2012
Douglas Bridges Individual Corporate Director Jan 21, 1993
Gary Morris Individual Corporate Director Oct 14, 2018
Nancy Lord Individual Corporate Director Jan 21, 2017
Mushtaq Ahmed Individual W-2 Managing EmployeeChief Medical Officer Sep 1, 2016
Trisha Jones Individual W-2 Managing EmployeeChief Nursing Officer May 7, 2024
Cassandra Saffold Individual Corporate Director Apr 18, 2017
John Barber Individual Corporate DirectorVolunteer Community Board of Direct Jul 19, 2022
Sherrie Stone Individual W-2 Managing EmployeeDirector of Operations Mar 15, 2015
Patricia Duckworth Individual Corporate DirectorVolunteer Board of Directors Aug 19, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 11

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

FacilityTypeRoleSince
Medlink HabershamDemorest, GA, CCN 111975 Federally qualified health center Operational/Managerial Control Jan 13, 2014
Medlink MonroeMonroe, GA, CCN 111037 Federally qualified health center Operational/Managerial Control (100%) Jun 5, 2023
Medlink DanielsvilleDanielsville, GA, CCN 111049 Federally qualified health center Operational/Managerial Control (100%) Jan 14, 2022
Medlink Winder Womens CenterWinder, GA, CCN 111050 Federally qualified health center Operational/Managerial Control (100%) Nov 1, 2016
Medlink CommerceCommerce, GA, CCN 111084 Federally qualified health center Operational/Managerial Control (100%) Feb 8, 2018
Medlink JeffersonJefferson, GA, CCN 111141 Federally qualified health center Operational/Managerial Control (100%) Mar 1, 2021
Medlink SuchesSuches, GA, CCN 851107 Federally qualified health center Operational/Managerial Control (100%) Oct 20, 2021
Medlink ClevelandCleveland, GA, CCN 851100 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2021
Medlink Georgia IncCleveland, GA, CCN 111898 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2022
Medlink OconeeWatkinsville, GA, CCN 851834 Federally qualified health center Operational/Managerial Control (100%) Apr 22, 2023
Medlink AthensAthens, GA, CCN 851950 Federally qualified health center Operational/Managerial Control (100%) Aug 3, 2023

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1306563515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280459",
            "telephone_number": "706-788-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 HIGHWAY 441 N STE 102",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254202",
            "telephone_number": "706-521-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINK GEORGIA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDLINK GEORGIA, INC",
        "enumeration_date": "2022-10-27",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-788-3234"
    },
    "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": "MedLink Rabun Women's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, GA

Sources for this page

Verify at the official NPI Registry.