North Georgia Healthcare Summerville

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

NORTH GEORGIA HEALTHCARE SUMMERVILLE

Practice address

11638 Highway 27
#8
Summerville, GA 30747-8514

Phone

(706) 857-2133

Fax

(706) 935-6441

NPI assigned

Jul 20, 2010

Organization subpart

Yes

Parent organization

NORTH GEORGIA HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Myra D Hunter

Title

Ceo

Phone

(706) 935-6442

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tri-Med Family Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Ringgold, GA
  • NPI 1356596399

  O20090203000508

  Same enrollment

Part of

N Ga Health Care Ctr

Practitioners 3

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

• Dorel Bidiuc, M.D.

  • Family Medicine Physician
  • Ringgold, GA
  • NPI 1861445793
  NPD (past)
• Anna Christine Jones, PMHNP-BC, FNP-C

  • Family Nurse Practitioner
  • Ringgold, GA
  • NPI 1649332008
  NPD (past)
• Savannah Michele Wilkey

  • Primary Care Nurse Practitioner
  • Ringgold, GA
  • NPI 1043091283
  NPD (past)

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1346553385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307360729",
            "telephone_number": "706-935-6442",
            "fax_number": "706-935-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 HIGHWAY 27",
            "address_2": "#8",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307478514",
            "telephone_number": "706-857-2133",
            "fax_number": "706-935-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA HEALTHCARE SUMMERVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH GEORGIA HEALTHCARE",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-935-6442"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindcare, LLC
• Stefanie Mitchell
• Amber Moore, FNP-C
• Murphy Chiropractic
• Kevin Dennis Murphy, DC
• Northwest Georgia Family Practice Center, PC
• Brittany Elaine O'Toole, FNP-BC
• Oakview Nursing & Rehabilitation Center LLC
• Cheryl Odom
• Shannon Owensby, RN

• Community Health Clinic/Center in Summerville, GA
• Providers in Summerville, GA by specialty
• Community Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.