Organization Active NPI

Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
National Provider Identifier
1346299807
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 100
Clayton, GA 30525-4202
Phone
(706) 782-5991
Fax
(706) 782-5111
NPI assigned
May 10, 2006
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
David Ward
Title
Ceo
Phone
(706) 788-3234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
Incorporated
Feb 29, 1980 in GA
Enrollment address
811 Highway 441 N
Ste 100
Clayton, GA 30525-6446

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2272313Medlink Rabun Womens Health811 Highway 441 N, Suite 102, Clayton, GA 30525Provider-performed microscopyNov 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Medlink Georgia Inc46 organizations share this tax ID, including this one
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.

View all 45

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.

NameRoleSinceShare
Lana Brand Individual Corporate DirectorBoard Member Jul 15, 2025
David Ward Individual Corporate OfficerCeo Jan 1, 2015
Christopher Gilley Individual Corporate OfficerCfo Jul 21, 2021
Jessica Smith Individual Corporate DirectorBoard Member Aug 19, 2025
Dennis Kimbrell Individual W-2 Managing EmployeeDirector of Pharmacy Services Aug 17, 2017
Bobby Berryman Individual Corporate DirectorBoard Member Jun 1, 2009
Arthur Gorman Individual W-2 Managing EmployeeDirector of Imaging Jan 3, 2022
Marilyn Favors Individual Corporate DirectorBoard Member Jun 1, 2009
Merlin Mejia Individual Corporate DirectorBoard Member Sep 17, 2019
Angelia R West Individual W-2 Managing EmployeeRevenue Cycle Management Director Apr 1, 2013
Alexandra Duvall Individual Corporate DirectorBoard Member Sep 21, 2021
Joe Fernandez Individual Corporate DirectorBoard Member Jun 1, 2009
Douglas Bridges Individual Corporate DirectorBoard Member Jun 1, 2009
Gary Morris Individual Corporate DirectorBoard Member Oct 14, 2018
Nancy Lord Individual Corporate DirectorBoard Member Jan 12, 2017
Mushtaq Ahmed Individual Corporate OfficerChief Medical Officer Sep 1, 2016
Trisha Jones Individual Corporate OfficerChief Nursing Officer May 7, 2024
Cassandra Saffold Individual Corporate DirectorBoard Member Apr 12, 2017
John Barber Individual Corporate DirectorBoard Member Jul 21, 2022
Sherrie Stone Individual W-2 Managing EmployeeDirector of Operations Mar 15, 2015
Patricia Duckworth Individual Corporate DirectorBoard Member 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

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.

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

Sources for this page

Verify at the official NPI Registry.