Active NPI
Medlink Georgia Inc
- Federally Qualified Health Center (FQHC)
- Clayton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MEDLINK GEORGIA INC
- Practice address
- 811 Highway 441 N Ste 100
Clayton, GA 30525-4202 - Phone
- (706) 782-5991
- Fax
- (706) 782-5111
- NPI assigned
- May 10, 2006
- Last updated
- Feb 18, 2026
- Organization subpart
- Yes
- Parent organization
- MEDLINK GEORGIA INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Ward
- Title
- Ceo
- Phone
- (706) 788-3234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
811 Highway 441 N Ste 100
Clayton, GA 30525-4202
Mailing address
PO Box 459
Colbert, GA 30628-0459
Phone (706) 353-1516
Other names 1
- MEDLINK RABUN
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000737 | 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 1346299807. Details of each certification follow.
Federally qualified health center certification: CCN 111873
- Legal name
- MEDLINK GEORGIA INC
- Doing business as
- MEDLINK RABUN
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 3, 2003
- Last certification
- Dec 3, 2003
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Feb 29, 1980 in GA
- Enrollment address
- 811 Highway 441 N
Ste 100
Clayton, GA 30525-6446
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2272313 | Medlink Rabun Womens Health | Provider-performed microscopy | Nov 17, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Medlink Georgia Inc
- Part of
- Medlink Georgia Inc
Other organizations with this tax ID 45
Organizations that report the same tax identification number in the National Provider Directory.
-
dba MedLink White School Based Health Center
- Federally Qualified Health Center (FQHC)
- Cleveland, GA
- NPI 1023746054
-
- Federally Qualified Health Center (FQHC)
- Winder, GA
- NPI 1033229059
-
- Federally Qualified Health Center (FQHC)
- Commerce, GA
- NPI 1033304274
-
- Federally Qualified Health Center (FQHC)
- Lexington, GA
- NPI 1083724082
-
dba MedLink Oconee
- Federally Qualified Health Center (FQHC)
- Watkinsville, GA
- NPI 1093401895
-
dba MedLink Pharmacy - Habersham
- Community/Retail Pharmacy
- Demorest, GA
- NPI 1174177638
-
- Federally Qualified Health Center (FQHC)
- Bowman, GA
- NPI 1235249236
-
- Federally Qualified Health Center (FQHC)
- Gainesville, GA
- NPI 1245340264
-
dba Medlink Pharmacy- Colbert
- Community/Retail Pharmacy
- Colbert, GA
- NPI 1245732254
-
- Federally Qualified Health Center (FQHC)
- Hartwell, GA
- NPI 1275643272
-
- Federally Qualified Health Center (FQHC)
- Royston, GA
- NPI 1336259340
-
- Federally Qualified Health Center (FQHC)
- Colbert, GA
- NPI 1427156264
Locations
811 Highway 441 N
Ste 100
Clayton, GA 30525
Phone (706) 782-5991
896 Highway 441 S
Clayton, GA 30525
Phone (706) 782-5991
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lana Brand | Corporate Director | Jul 15, 2025 | |
| David Ward | Corporate Officer | Jan 1, 2015 | |
| Christopher Gilley | Corporate Officer | Jul 21, 2021 | |
| Jessica Smith | Corporate Director | Aug 19, 2025 | |
| Dennis Kimbrell | W-2 Managing Employee | Aug 17, 2017 | |
| Bobby Berryman | Corporate Director | Jun 1, 2009 | |
| Arthur Gorman | W-2 Managing Employee | Jan 3, 2022 | |
| Marilyn Favors | Corporate Director | Jun 1, 2009 | |
| Merlin Mejia | Corporate Director | Sep 17, 2019 | |
| Angelia R West | W-2 Managing Employee | Apr 1, 2013 | |
| Alexandra Duvall | Corporate Director | Sep 21, 2021 | |
| Joe Fernandez | Corporate Director | Jun 1, 2009 | |
| Douglas Bridges | Corporate Director | Jun 1, 2009 | |
| Gary Morris | Corporate Director | Oct 14, 2018 | |
| Nancy Lord | Corporate Director | Jan 12, 2017 | |
| Mushtaq Ahmed | Corporate Officer | Sep 1, 2016 | |
| Trisha Jones | Corporate Officer | May 7, 2024 | |
| Cassandra Saffold | Corporate Director | Apr 12, 2017 | |
| John Barber | Corporate Director | Jul 21, 2022 | |
| Sherrie Stone | W-2 Managing Employee | Mar 15, 2015 | |
| Patricia Duckworth | Corporate Director | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Medlink Habersham | Federally qualified health center | Operational/Managerial Control | Jan 13, 2014 |
| Medlink Monroe | Federally qualified health center | Operational/Managerial Control (100%) | Jun 5, 2023 |
| Medlink Danielsville | Federally qualified health center | Operational/Managerial Control (100%) | Jan 14, 2022 |
| Medlink Winder Womens Center | Federally qualified health center | Operational/Managerial Control (100%) | Nov 1, 2016 |
| Medlink Commerce | Federally qualified health center | Operational/Managerial Control (100%) | Feb 8, 2018 |
| Medlink Jefferson | Federally qualified health center | Operational/Managerial Control (100%) | Mar 1, 2021 |
| Medlink Suches | Federally qualified health center | Operational/Managerial Control (100%) | Oct 20, 2021 |
| Medlink Cleveland | Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2021 |
| Medlink Georgia Inc | Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2022 |
| Medlink Oconee | Federally qualified health center | Operational/Managerial Control (100%) | Apr 22, 2023 |
| Medlink Athens | Federally qualified health center | Operational/Managerial Control (100%) | Aug 3, 2023 |
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pediatrics Physician
- Clayton, GA
- NPI 1033813563
-
- Family Nurse Practitioner
- Clayton, GA
- NPI 1164129128
-
- Family Medicine Physician
- Clayton, GA
- NPI 1851093405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1346299807",
"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": "706-353-1516",
"fax_number": "706-546-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 HIGHWAY 441 N STE 100",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305254202",
"telephone_number": "706-782-5991",
"fax_number": "706-782-5111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDLINK GEORGIA INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDLINK GEORGIA INC",
"enumeration_date": "2006-05-10",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "DAVID",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDLINK RABUN",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "MEDLINK RABUN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clayton, GA
- Pamila Shelton McIntyre, A-GNP-C
- Elizabeth McKeon
- Carrie McLamar, MS, LPC
- Erica McVey, AUD, CCC-A
- Medical Management Concepts LLC (Mountain View Health Care)
- Medlink Georgia Inc (MedLink Rabun Behavioral Health)
- Medlink Georgia, Inc (MedLink Rabun North)
- Medlink Georgia, Inc (MedLink Rabun Women's Center)
- Medlink Georgia, Inc (MedLink Rabun Imaging)
- Medlink Georgia, Inc (MedLink Pharmacy - Rabun)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.