NPIMap

Organization Active NPI

Chatuge Regional Hospital Inc

  • Psychiatric Hospital Unit
  • Hiawassee, GA
National Provider Identifier
1679998942
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
139583 Issued in GA
Legal business name
CHATUGE REGIONAL HOSPITAL INC
Practice address
110 S Main St
Hiawassee, GA 30546-3408
Phone
(706) 896-2222
Fax
(786) 896-7872
NPI assigned
Feb 24, 2014
Last updated
Feb 24, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CHATUGE REGIONAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Mr. Richard Lewis Kelley
Title
Administrator
Phone
(706) 896-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 139583 GA Primary

Addresses

Primary practice location

110 S Main St
Hiawassee, GA 30546-3408

Mailing address

110 S Main St
Hiawassee, GA 30546-3408
Phone (706) 896-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220914000390 GA Part A Provider - Critical Access Hospital 0840196523 Practice locations: Hiawassee, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679998942. Details of each certification follow.

Hospital certification: CCN 11M324

Legal name
CHATUGE REGIONAL HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Dec 20, 1999 in GA
Enrollment address
110 S Main St
Hiawassee, GA 30546-3408
Hospital Psychiatric Unit

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Part of
Chatuge Regional Hosp Inc

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Rick Davenport Individual Corporate DirectorBoard Member Jan 1, 2019
Greg Owenby Individual Corporate DirectorBoard Member Jan 1, 2019
Union County Hospital Authority Organization, Blairsville, GA Non-profit Operational/Managerial Control Oct 17, 2007
Nicholas C Townsend Individual Corporate Director Apr 15, 2016
W-2 Managing Employee Apr 15, 2016
Thomas D Gary Individual Corporate DirectorBoard Member Jan 1, 2019
Dinah Paris Individual Corporate DirectorVice Chairperson Jan 26, 2012
Steven Rowe Individual Corporate DirectorBoard Member Aug 1, 2015
Kevin L Bierschenk Individual Corporate Director Feb 25, 2019
W-2 Managing Employee Feb 25, 2019
Myron Turner Individual Corporate DirectorChairman Jan 26, 2012

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hayesville Family PracticeHayesville, NC, CCN 343456 Rural health clinic Operational/Managerial Control (100%) Sep 12, 2014

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 3

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

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1679998942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463408",
            "telephone_number": "706-896-2222",
            "fax_number": "786-896-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463408",
            "telephone_number": "706-896-2222",
            "fax_number": "786-896-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATUGE REGIONAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHATUGE REGIONAL HOSPITAL INC",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-896-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "GA",
            "license": "139583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawassee, GA

Sources for this page

Verify at the official NPI Registry.