The Hospital Authority of Habersham County

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC1068299 Issued in GA

Legal business name

THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY

Practice address

541 441 Historic Hwy N
Demorest, GA 30535-4528

Phone

(706) 754-2161

Fax

(706) 754-7300

NPI assigned

Mar 12, 2007

Organization subpart

Yes

Parent organization

THE HOSPITAL AUTHORITY OF HABERSHAM COUNTYAs reported in NPPES

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

Authorized official

Name

Stephen Tyler Williams

Title

VP of Strategy and Business Develop

Phone

(706) 754-3113

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Mt Yonah Family Practic

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Hospital Authority of Habersham County

  • Pharmacy
  • Demorest, GA
  • NPI 1548644586
  NPPES parent name

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1649302811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1629",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305351629",
            "telephone_number": "706-754-2161",
            "fax_number": "706-754-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 441 HISTORIC HWY N",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354528",
            "telephone_number": "706-754-2161",
            "fax_number": "706-754-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY",
        "enumeration_date": "2007-03-12",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "VP OF STRATEGY AND BUSINESS DEVELOP",
        "authorized_official_telephone_number": "706-754-3113"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "LTC1068299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "LTC1068299",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000141292A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Hospital Authority of Habersham County
• The Hospital Authority of Habersham County
• The Hospital Authority of Habersham County
• The Hospital Authority of Habersham County
• The Hospital Authority of Habersham County
• The Hospital Authority of Habersham County
• The Hospital Authority of Habersham County
• The Hospital Authority of Habersham County
• The Hospital Authority of Habersham County
• The Jones Clinic, LLC

• All providers in Demorest, GA
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.