NPIMap

Organization Active NPI

Palmetto Health Council, Inc.

Doing business as YourTown Health

  • Federally Qualified Health Center (FQHC)
  • Warm Springs, GA
National Provider Identifier
1497984769
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
H800040 Issued in GA
Legal business name
PALMETTO HEALTH COUNCIL, INC.
Doing business as
YourTown Health
Practice address
3939 White House Parkway
Warm Springs, GA 31830-2455
Phone
(404) 929-8824
Fax
(404) 929-9769
NPI assigned
Jul 8, 2009
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Tara BrownNPI 1982059143
Title
Ceo
Phone
(404) 931-3923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X H800040 GA Primary
Family Medicine Physician 207Q00000X H800040 GA

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 1

IdentifierTypeStateIssuer
000472128HMedicaidGA

Other names 1

  • YourTown Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090925000507 GA Part A Provider - Federally Qualified Health Center (FQHC) 3476586629 Practice locations: Warm Springs, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497984769. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jan 3, 1978 in GA
Enrollment address
3939 White House Parkway
Warm Springs, GA 31830-2455

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Health Council Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

3939 White House Pkwy
Warm Springs, GA 31830
Phone (706) 655-2267

16201 Barnesville St
Zebulon, GA 30295
Phone (770) 567-0334

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Morrow Individual Operational/Managerial Control Nov 29, 2004
Tara L Brown Individual Corporate OfficerCeo Dec 20, 2020
W-2 Managing EmployeeCeo Dec 20, 2020
Palmetto Health Council Inc Organization, Palmetto, GA Non-profit Operational/Managerial Control Nov 29, 2004
Loretta M North Individual Operational/Managerial Control Oct 1, 2011
Patsy S Page Individual Operational/Managerial Control Oct 1, 2010
Ann Johnson Individual Operational/Managerial Control Aug 1, 2009
Pat Ackey Individual Corporate Director Oct 14, 2017
Calvin C Ruffin Individual Operational/Managerial Control Oct 1, 2011
Carlos Montano Individual Corporate Director Jul 31, 2018
Eugene Smenner Individual Operational/Managerial Control Oct 1, 2009

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 7

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": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1497984769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 MAIN ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681138",
            "telephone_number": "404-929-8824",
            "fax_number": "404-929-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 WHITE HOUSE PARKWAY",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302455",
            "telephone_number": "404-929-8824",
            "fax_number": "404-929-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-931-3923"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "GA",
            "license": "H800040",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "H800040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000472128H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YourTown Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YourTown Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warm Springs, GA

Sources for this page

Verify at the official NPI Registry.