NPIMap

Organization Active NPI

Emanuel County Hospital Authority

Doing business as Porter Family Medical Clinic

  • Rural Health Clinic/Center
  • Swainsboro, GA
National Provider Identifier
1538586243
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
EMANUEL COUNTY HOSPITAL AUTHORITY
Doing business as
Porter Family Medical Clinic
Practice address
124 Victory Dr
Swainsboro, GA 30401-3235
Phone
(478) 237-5506
NPI assigned
Mar 20, 2014
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Cindy Hutcheson
Title
Cfo
Phone
(478) 289-1376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

124 Victory Dr
Swainsboro, GA 30401-3235

Mailing address

PO Box 879
117 Kite Road
Swainsboro, GA 30401-0879
Phone (478) 289-1100

Other names 1

  • PORTER FAMILY MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150325002433 GA Part A Provider - Rural Health Clinic 3577473040 Practice locations: Swainsboro, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538586243. Details of each certification follow.

Rural health clinic certification: CCN 118552

Legal name
EMANUEL COUNTY HOSPITAL AUTHORITY
Doing business as
PORTER FAMILY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 20, 2015
Last certification
Mar 22, 2022
Ownership / control type
1B
Organization structure
OtherNon-profit
Enrollment address
124 Victory Dr
Swainsboro, GA 30401-3235
Related CCNs
110109

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Emanuel County Hospital Authority18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Emanuel County Hospital Authority Organization, Swainsboro, GA 5% Or Greater Direct Ownership Interest May 27, 2014 100%
Jessica Johnson Individual Corporate DirectorCfo Aug 12, 2009
W-2 Managing EmployeeCfo Aug 12, 2009

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Emanuel Medical CenterSwainsboro, GA, CCN 110109 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 14, 2014
Emanuel Medical Center Nursing HomeSwainsboro, GA, CCN 115704 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Ray Medical ClinicSwainsboro, GA, CCN 118526 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2009
Swainsboro HealthcareSwainsboro, GA, CCN 118554 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 27, 2014
Swainsboro Internal Medicine ClinicSwainsboro, GA, CCN 118551 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 27, 2014
Twin City Family Medical ClinicTwin City, GA, CCN 118553 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 27, 2014

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1538586243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "address_2": "117 KITE ROAD",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304010879",
            "telephone_number": "478-289-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013235",
            "telephone_number": "478-237-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANUEL COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "HUTCHESON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-289-1376"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORTER FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swainsboro, GA

Sources for this page

Verify at the official NPI Registry.