NPIMap

Organization Active NPI

The Hospital Authority of Habersham County

  • Orthopaedic Surgery Physician
  • Demorest, GA
National Provider Identifier
1689016883
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
049310 Issued in GA
Legal business name
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Practice address
247 Adams Drive
Demorest, GA 30535
Phone
(706) 839-4096
Fax
(706) 839-4097
NPI assigned
Jul 29, 2013
Organization subpart
Yes
Parent organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 049310 GA Primary

Addresses

Primary practice location

247 Adams Drive
Demorest, GA 30535

Mailing address

PO Box 657
Demorest, GA 30535-0657
Phone (706) 754-2161

Other identifiers 1

IdentifierTypeStateIssuer
049310OtherGASTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Mt Yonah Family Practic6 organizations share this tax ID, including this one
Part of
Mt Yonah Family Practic

Other organizations with this tax ID 5

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

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1689016883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305350657",
            "telephone_number": "706-754-2161",
            "fax_number": "706-754-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 ADAMS DRIVE",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-839-4096",
            "fax_number": "706-839-4097"
        }
    ],
    "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": "2013-07-29",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "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": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "049310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "049310",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.