NPIMap

Organization Active NPI

The Hospital Authority of Habersham County

  • Clinical Medical Laboratory
  • Demorest, GA
National Provider Identifier
1356473524
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
068-001 Issued in GA
Legal business name
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Practice address
541 Highway 441 N
Demorest, GA 30535
Phone
(706) 754-2161
Fax
(706) 754-7300
NPI assigned
Mar 12, 2007
Last updated
Oct 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Stephen Tyler Williams
Title
VP of Strategy and Business Develop
Phone
(706) 754-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 068-001 GA Primary

Addresses

Primary practice location

541 Highway 441 N
Demorest, GA 30535

Mailing address

PO Box 37
Demorest, GA 30535-0037
Phone (706) 754-2161

Other identifiers 1

IdentifierTypeStateIssuer
11D0261639OtherGACLIA #

National Provider Directory

National Provider Directory
Tax ID family
The Hosp Auth of Habersham6 organizations share this tax ID, including this one
Part of
The Hosp Auth of Habersham

Other organizations with this tax ID 5

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

Interoperability endpoints

  • Direct secure messaging: chadwick.thomas@hcmcmed.gadirect.net
  • Direct secure messaging: charles.white@hcmcmed.gadirect.net
  • Direct secure messaging: david.bray@hcmcmed.gadirect.net
  • Direct secure messaging: john.cope@hcmcmed.gadirect.net
  • Direct secure messaging: joshua.garrett@hcmcmed.gadirect.net
  • Direct secure messaging: michael.oliver@hcmcmed.gadirect.net
  • Direct secure messaging: milene.argo@hcmcmed.gadirect.net
  • Direct secure messaging: morris.pulliam@hcmcmed.gadirect.net
  • Direct secure messaging: nancy.watson@hcmcmed.gadirect.net
  • Direct secure messaging: rhett.weaver@hcmcmed.gadirect.net
  • Direct secure messaging: richard.olson@hcmcmed.gadirect.net
  • Direct secure messaging: ronald.macbeth@hcmcmed.gadirect.net
  • Direct secure messaging: stephen.suss@hcmcmed.gadirect.net
  • Direct secure messaging: stuart.sanders@hcmcmed.gadirect.net
  • Direct secure messaging: tammy.farmer@hcmcmed.gadirect.net
  • Direct secure messaging: terry.green@hcmcmed.gadirect.net
  • Direct secure messaging: thomas.johnson@hcmcmed.gadirect.net

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1356473524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305350037",
            "telephone_number": "706-754-2161",
            "fax_number": "706-754-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HIGHWAY 441 N",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-754-2161",
            "fax_number": "706-754-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY",
        "enumeration_date": "2007-03-12",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "VP OF STRATEGY AND BUSINESS DEVELOP",
        "authorized_official_telephone_number": "706-754-3113"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "068-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "11D0261639",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.