Active NPI
Union County Hospital Authority
- Rural Health Clinic/Center
- Hiawassee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- UNION COUNTY HOSPITAL AUTHORITY
- Practice address
- 103 Church St Ste a
Hiawassee, GA 30546-3223 - Phone
- (706) 896-4673
- NPI assigned
- Oct 28, 2009
- Last updated
- Feb 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nicholas Colby Townsend
- Title
- Chief Financial Officer
- Phone
- (706) 745-2111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
103 Church St Ste a
Hiawassee, GA 30546-3223
Mailing address
35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111
Other names 1
- Chatuge Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100107000083 | GA | Part A Provider - Rural Health Clinic | 3779490503 | Practice locations: Hiawassee, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1427384353. Details of each certification follow.
Rural health clinic certification: CCN 118535
- Legal name
- UNION COUNTY HOSPITAL AUTHORITY
- Doing business as
- THE CLINIC AT WALMART OPERATED BY UNION GENERAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 12, 2011
- Last certification
- Dec 19, 2019
- Ownership / control type
- 2B
- Organization structure
- Corporation
- Incorporated
- Jan 27, 1997 in GA
- Enrollment address
- 103 Church St
Ste a
Hiawassee, GA 30546-3223 - Related CCNs
- 110051
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Union General Hospital
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
Parent provider
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Union General Hospital
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
3779490503
-
dba Union General Family Medicine
- Rural Health Clinic/Center
- Blairsville, GA
- NPI 1578682696
3779490503
-
dba Union County Nursing Home
- Skilled Nursing Facility
- Blairsville, GA
- NPI 1902867732
3779490503
National Provider Directory
National Provider Directory- Tax ID family
- Union County Hospital
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medicare Defined Swing Bed Hospital Unit
- Blairsville, GA
- NPI 1023287927
-
dba Union General Orthopedics
- Orthopaedic Surgery Physician
- Blairsville, GA
- NPI 1285150656
-
dba Union County Nursing Home
- Skilled Nursing Facility
- Blairsville, GA
- NPI 1902867732
-
- Medicare Defined Swing Bed Hospital Unit
- Blairsville, GA
- NPI 1861661761
-
dba Union General Hospital
- General Acute Care Hospital
- Blairsville, GA
- NPI 1235408253
Locations
11 Hospital Way
Ste A
Blairsville, GA 30512
Phone (706) 745-3862
Ownership & related parties
All disclosed owners & managing parties 14
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 |
|---|---|---|---|
| Rick Davenport | Corporate Director | Jan 1, 2019 | |
| Michael Dean Gay | Corporate Officer | Jun 1, 2016 | |
| W-2 Managing Employee | Jun 1, 2016 | ||
| Julia Ann Barnett | Corporate Officer | Jun 24, 2013 | |
| W-2 Managing Employee | Jun 24, 2013 | ||
| John Merry | W-2 Managing Employee | Aug 24, 2014 | |
| Greg Owenby | Corporate Director | Jan 1, 2019 | |
| Debra a Self | W-2 Managing Employee | Jun 10, 2016 | |
| Nicholas C Townsend | W-2 Managing Employee | Apr 15, 2016 | |
| Thomas D Gary | Corporate Director | Jan 1, 2019 | |
| Dinah Paris | Corporate Director | May 1, 2011 | |
| Robin McLendon | W-2 Managing Employee | Jun 6, 2016 | |
| Steven Rowe | Corporate Director | Jul 1, 2015 | |
| Kevin L Bierschenk | Corporate Director | Feb 25, 2019 | |
| W-2 Managing Employee | Feb 25, 2019 | ||
| Myron Turner | Corporate Director | May 1, 2010 | |
| Cheryl Curtis | W-2 Managing Employee | Jul 29, 2013 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Blairsville, GA
- NPI 1093891921
Corporate Director
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Chatuge Regional Hospital Inc | Hospital | Operational/Managerial Control | Nov 1, 1999 |
| Union General Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2007 |
| Chatuge Regional Hospital Inc | Hospital | Operational/Managerial Control | Oct 17, 2007 |
| Chatuge Regional Hospital Inc | Hospital | Operational/Managerial Control (100%) | Nov 1, 1999 |
| Chatuge Regional Nursing Home | Skilled nursing facility | Trustee of the SNF Adp of the SNF |
Nov 1, 1999 Mar 3, 2025 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Chatuge Regional Nursing Home
- Skilled Nursing Facility
- Hiawassee, GA
- NPI 1043287303
Adp of the SNF, Trustee of the SNF
-
- Critical Access Hospital
- Hiawassee, GA
- NPI 1326028978
Operational/Managerial Control
-
- Psychiatric Hospital Unit
- Hiawassee, GA
- NPI 1679998942
Operational/Managerial Control
-
- Medicare Defined Swing Bed Hospital Unit
- Hiawassee, GA
- NPI 1982873212
Operational/Managerial Control
-
dba Union General Hospital
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Cardiovascular Disease Physician
- Blairsville, GA
- NPI 1992744155
-
- Physician Assistant
- Corbin, KY
- NPI 1508336389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706745600000",
"number": "1427384353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 HOSPITAL RD",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305123139",
"telephone_number": "706-745-2111",
"fax_number": "706-745-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CHURCH ST STE A",
"city": "HIAWASSEE",
"state": "GA",
"postal_code": "305463223",
"telephone_number": "706-896-4673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION COUNTY HOSPITAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-28",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A",
"authorized_official_last_name": "TOWNSEND",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "COLBY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "706-745-2111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chatuge Medical Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hiawassee, GA
- Holly Tiger, BS SOCIAL WORK
- Caroline Lizzette Torres
- Towns County School System
- Tranquil Counseling & Consulting, LLC
- Suzanne Henry Turner, MD
- Union General Affiliated Services, LLC (Chatuge Behavioral Care)
- Walgreen Co (Walgreens #18402)
- Brianna Wallace, LAT, ATC
- Nicholas M Weitzel, PHARMD.
- Jennifer Cooper White, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.