Organization Active NPI

Healing Hands Community Clinic, Inc

  • Community Health Clinic/Center
  • Blairsville, GA
National Provider Identifier
1518339795
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
LPN057830 Issued in GA
Legal business name
HEALING HANDS COMMUNITY CLINIC, INC
Practice address
64 Bracketts Way
Suite 3
Blairsville, GA 30512-2982
Phone
(706) 994-6768
Fax
(706) 781-3921
NPI assigned
Oct 27, 2015
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mrs. Jeri Ann King, LPN
Title
Executive Director
Phone
(706) 781-7957

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X LPN057830 GA Primary
Dental Clinic/Center 261QD0000X LPN057830 GA
Rural Health Clinic/Center 261QR1300X LPN057830 GA

Addresses

Primary practice location

64 Bracketts Way
Suite 3
Blairsville, GA 30512-2982

Mailing address

PO Box 2143
Blairsville, GA 30514-2143
Phone (706) 994-6768

National Provider Directory

National Provider Directory

Locations

64 Bracketts Way
Ste 3
Blairsville, GA 30512
Phone (706) 994-6768

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19762/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1518339795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2143",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305142143",
            "telephone_number": "706-994-6768",
            "fax_number": "706-781-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BRACKETTS WAY",
            "address_2": "SUITE 3",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122982",
            "telephone_number": "706-994-6768",
            "fax_number": "706-781-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS COMMUNITY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JERI ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-781-7957",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "GA",
            "license": "LPN057830",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "LPN057830",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "LPN057830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.