Palmetto Health Council, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Warm Springs, GA
NPI 1497984769 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1497984769
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- H800040 (GA)
- Legal business name
- PALMETTO HEALTH COUNCIL, INC.
- Practice address
- 3939 White House Parkway
Warm Springs, GA 31830-2455 - Phone
- (404) 929-8824
- Fax
- (404) 929-9769
- NPI assigned
- Jul 8, 2009
- Organization subpart
- No
Authorized official
- Name
- Tara Brown
- Title
- Ceo
- Phone
- (404) 931-3923
Owners & managing parties with NPI records 6
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 5
Practitioners 9
-
William E. Cunningham, M.D.
-
Gabriela Pena, M.D.
-
Alanna Perlin, MD
-
Heather Elizabeth Brooker, FNP-C
-
Emma Ann Kemink Herndl, PA-C
-
Haley Leatherbarrow, DDS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Federally qualified health center certification: CCN 111923
- Legal name
- PALMETTO HEALTH COUNCIL INC
- Doing business as
- COMMUNITY MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 29, 2009
- Last certification
- Sep 29, 2009
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 3, 1978 in GA
- Enrollment address
- 3939 White House Parkway
Warm Springs, GA 31830-2455
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Thomas Morrow |
Operational/Managerial Control | Nov 29, 2004 | |
| Tara L Brown |
Corporate Officer |
Dec 20, 2020 | |
| W-2 Managing Employee |
Dec 20, 2020 | ||
| Palmetto Health Council Inc |
Operational/Managerial Control | Nov 29, 2004 | |
| Loretta M North |
Operational/Managerial Control | Oct 1, 2011 | |
| Patsy S Page |
Operational/Managerial Control | Oct 1, 2010 | |
| Ann Johnson |
Operational/Managerial Control | Aug 1, 2009 | |
| Pat Ackey |
Corporate Director | Oct 14, 2017 | |
| Calvin C Ruffin |
Operational/Managerial Control | Oct 1, 2011 | |
| Carlos Montano |
Corporate Director | Jul 31, 2018 | |
| Eugene Smenner |
Operational/Managerial Control | Oct 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090925000507 | GA | Part a Provider - Federally Qualified Health Center (FQHC) | 3476586629 | Practice locations: Warm Springs, GA |
National Provider Directory
- Tax ID family
- Palmetto Health Council Inc
Locations
643 Main St
Palmetto, GA 30268
Phone (404) 929-8824
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | H800040 | GA | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | H800040 | GA | Yes |
Addresses
Primary practice location
3939 White House Parkway
Warm Springs, GA 31830-2455
Mailing address
643 Main St
Palmetto, GA 30268-1138
Phone (404) 929-8824
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000472128H | Medicaid | GA |
Other names
- YourTown Health
Other providers in Warm Springs, GA
- Meriwether Healthcare, L.L.C.
- Meriwether Medicine LLC
- Movewell Mobility LLC
- Sonal Sunil Nakrani
- Trina Nelson Ouzts
- Carson Givens Pass
- Sunette Payne
- Cynthia Denise Perryman
- Michelle Razon Raguindin
- Emily Nicole Reffitt
All providers in Warm Springs, GA · Federally Qualified Health Center (FQHC) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.