NPIMap

Organization Active NPI

Elbert Memorial Hospital

  • Family Medicine Physician
  • Hartwell, GA
National Provider Identifier
1346052487
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELBERT MEMORIAL HOSPITAL
Practice address
1029 E Franklin St
Suite D
Hartwell, GA 30643
Phone
(706) 283-3151
NPI assigned
Jan 24, 2025
Organization subpart
Yes
Parent organization
ELBERTON-ELBERT COUNTY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
John Tyler Taylor
Title
Chief Executive Officer
Phone
(706) 213-2536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1029 E Franklin St
Suite D
Hartwell, GA 30643

Mailing address

4 Medical Dr
Elberton, GA 30635-1897
Phone (706) 983-1296

Other names 1

  • HARTWELL FAMILY CLINIC - ELBERT MEMORIAL HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elbert Mem Hospital5 organizations share this tax ID, including this one
Part of
Elbert Mem Hospital

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1346052487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEDICAL DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351897",
            "telephone_number": "706-983-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E FRANKLIN ST",
            "address_2": "SUITE D",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "30643",
            "telephone_number": "706-283-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBERT MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELBERTON-ELBERT COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "706-213-2536"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARTWELL FAMILY CLINIC - ELBERT MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartwell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.