NPIMap

Organization Active NPI

East Georgia Healthcare Center, Inc.

Doing business as Emanuel County Institute

  • Federally Qualified Health Center (FQHC)
  • Twin City, GA
National Provider Identifier
1568330652
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EAST GEORGIA HEALTHCARE CENTER, INC.
Doing business as
Emanuel County Institute
Practice address
102 N College St
Twin City, GA 30471
Phone
(478) 494-9926
Fax
(478) 237-9138
NPI assigned
Oct 29, 2025
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Jill R Sorrells
Title
Cfo
Phone
(478) 237-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

102 N College St
Twin City, GA 30471

Mailing address

215 N Coleman St
Swainsboro, GA 30401-3530
Phone (478) 237-2638

Other names 1

  • Emanuel County Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251219003848 GA Part A Provider - Federally Qualified Health Center (FQHC) 0547228686 Practice locations: Twin City, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568330652. Details of each certification follow.

Federally qualified health center certification: CCN C21053

Legal name
EAST GEORGIA HEALTHCARE CENTER, INC.
Doing business as
EMANUEL COUNTY INSTITUTE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 18, 2025
Last certification
Nov 18, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
102 N College St
Twin City, GA 30471

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2342830East Georgia Healthcare Ctr at Twin City Schools102 North College Street, Twin City, GA 30471Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
E Ga Healthcare Ctr Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

6459 US Highway 301
Claxton, GA 30417
Phone (478) 237-6262

1075 E Winthrope Ave
Millen, GA 30442
Phone (478) 237-2638

117 Memorial Dr
Reidsville, GA 30453
Phone (912) 557-3300

145 Memorial Dr
Reidsville, GA 30453
Phone (912) 557-3300

1905 Martin Luther King Jr Dr
Ste A
Soperton, GA 30457
Phone (912) 529-5533

7892 GA Highway 29
Soperton, GA 30457
Phone (478) 237-2638

404 Savannah Ave
Statesboro, GA 30458
Phone (912) 764-9196

316 N Main St
Swainsboro, GA 30401
Phone (478) 237-2638

257 N Main St
Wadley, GA 30477
Phone (478) 252-0027

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Joel Salgado Individual Corporate DirectorBoard Member Jan 1, 2021
Gwendolyn Love Individual Corporate DirectorBoard Member Jul 20, 2018
Tabitha Johns Individual Corporate DirectorAccounting Director Oct 1, 2025
Lynda Morgan Individual Corporate DirectorBoard Member Jul 20, 2018
Melissa Clifton Individual Corporate DirectorBoard Member Jan 1, 2025
Jennie W Denmark Individual Corporate DirectorCeo Jul 20, 2018
W-2 Managing EmployeeCeo Jul 20, 2018
Elizabeth Hendrix Individual Corporate DirectorBoard Member Jul 20, 2018
Kenneth Griffin Individual Corporate DirectorBoard Member Jan 1, 2025
Barbara Bruno Individual Corporate DirectorBoard Member Jan 1, 2025
Lynne Hillis Individual Corporate DirectorBoard Member Jan 1, 2025
Ken Mercer Individual Corporate DirectorBoard Member Jul 20, 2018
Luis Machado Individual Corporate DirectorBoard Member Jul 20, 2018
Amanda R Brown Individual Corporate DirectorBoard Member Jul 20, 2018
Herbert Hodges Individual Corporate DirectorBoard Member Jan 1, 2025
Jill R Sorrells Individual Corporate OfficerCfo Jan 20, 2018
W-2 Managing EmployeeCfo Jul 20, 2018

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Statesboro Pediatrics and Family Healthcare CenterStatesboro, GA, CCN 111931 Federally qualified health center Other Mar 12, 2013
East Georgia Healthcare Center, Inc.Baxley, GA, CCN 111977 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2014
East Georgia Healthcare Center, Inc.Millen, GA, CCN 111063 Federally qualified health center Operational/Managerial Control May 1, 2017

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 52

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.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1568330652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N COLEMAN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013530",
            "telephone_number": "478-237-2638",
            "fax_number": "478-237-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N COLLEGE ST",
            "city": "TWIN CITY",
            "state": "GA",
            "postal_code": "30471",
            "telephone_number": "478-494-9926",
            "fax_number": "478-237-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GEORGIA HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "SORRELLS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-237-6262"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emanuel County Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin City, GA

Sources for this page

Verify at the official NPI Registry.