NPIMap

Organization Active NPI

Medlink Georgia, Inc

  • 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
Practice address
811 Highway 441 N Ste 102
Clayton, GA 30525-4202
Phone
(706) 521-3113
NPI assigned
Oct 27, 2022
Organization subpart
Yes
Parent organization
MEDLINK GEORGIA, INCAs reported in NPPES

Authorized official

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

Owners & managing parties with NPI records 2

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

Corporate family (same tax ID) 45

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

View all 45

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

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
Corporation · Non-profit
Incorporated
Feb 29, 1980 in GA
Enrollment address
811 Highway 441 N
Ste 102
Clayton, GA 30525-4202

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 Director
Volunteer Board of Directors		 Jul 15, 2025
David Ward
Individual 		Corporate Officer Jan 1, 2015
Christopher Gilley
Individual 		Corporate Officer
Cfo		 Jul 21, 2021
Jessica Smith
Individual 		Corporate Director
Volunteer Board of Directors		 Aug 19, 2025
Dennis Kimbrell
Individual 		W-2 Managing Employee
Director of Pharmacy Services		 Aug 17, 2017
Bobby Berryman
Individual 		Corporate Director Feb 22, 1999
Arthur Gorman
Individual 		W-2 Managing Employee
Director 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 Employee
Director 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 Employee
Chief Medical Officer		 Sep 1, 2016
Trisha Jones
Individual 		W-2 Managing Employee
Chief Nursing Officer		 May 7, 2024
Cassandra Saffold
Individual 		Corporate Director Apr 18, 2017
John Barber
Individual 		Corporate Director
Volunteer Community Board of Direct		 Jul 19, 2022
Sherrie Stone
Individual 		W-2 Managing Employee
Director of Operations		 Mar 15, 2015
Patricia Duckworth
Individual 		Corporate Director
Volunteer Board of Directors		 Aug 19, 2025

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 Habersham
Demorest, GA · CCN 111975		 Federally qualified health center Operational/Managerial Control Jan 13, 2014
Medlink Monroe
Monroe, GA · CCN 111037		 Federally qualified health center Operational/Managerial Control (100%) Jun 5, 2023
Medlink Danielsville
Danielsville, GA · CCN 111049		 Federally qualified health center Operational/Managerial Control (100%) Jan 14, 2022
Medlink Winder Womens Center
Winder, GA · CCN 111050		 Federally qualified health center Operational/Managerial Control (100%) Nov 1, 2016
Medlink Commerce
Commerce, GA · CCN 111084		 Federally qualified health center Operational/Managerial Control (100%) Feb 8, 2018
Medlink Jefferson
Jefferson, GA · CCN 111141		 Federally qualified health center Operational/Managerial Control (100%) Mar 1, 2021
Medlink Suches
Suches, GA · CCN 851107		 Federally qualified health center Operational/Managerial Control (100%) Oct 20, 2021
Medlink Cleveland
Cleveland, GA · CCN 851100		 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2021
Medlink Georgia Inc
Cleveland, GA · CCN 111898		 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2022
Medlink Oconee
Watkinsville, GA · CCN 851834		 Federally qualified health center Operational/Managerial Control (100%) Apr 22, 2023
Medlink Athens
Athens, GA · CCN 851950		 Federally qualified health center Operational/Managerial Control (100%) Aug 3, 2023

Medicare enrollment records

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

National Provider Directory

Tax ID family
Oglethorpe Family Medic (46 organizations share this tax ID)
Part of
Oglethorpe Family Medic

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • MedLink Rabun Women's Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2026.

{
    "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.