The Hospital Authority of Habersham County
Organization Active NPI Rural Acute Care Hospital · Demorest, GA
NPI 1689736282 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1689736282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- License
- 4705360 (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
- Dec 14, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Authorized official
- Name
- Stephen Tyler Williams
- Title
- Ceo
- Phone
- (706) 754-3113
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 1
Practitioners 25
-
David Allen Bray, MD
-
Tammy Danielle Farmer, FNP-BC
-
Joshua L Garrett, M.D.
-
Laura Heringer, MD
-
Nathaniel Leon Hill II, D.O.
-
William Starr McLean, D.O.
-
Leslie A Pittman, MD
-
Jack Powell, CRNA
-
Edward Joel Shanik, M.D.
-
Daniel Bryce Skipper, CRNA
-
Nancy M Watson, M.D.
-
William Rhett Weaver, M.D.
-
Kristopher Scott Wheeler, M.D.
-
James Dallis, M.D.
-
William Markus Koeppel, D.O.
-
Pamela Kay McCloskey, D.O.
-
Charles Moran Myers Sr., M.D.
-
Lee Prentis Owen, CRNA
-
Brandon Taylor, CRNA
-
Chadwick V. Thomas, M.D.
-
James Lewis Brown Jr., M.D.
-
Sarah Price, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040406001423 | GA | Part B Supplier - Clinic/Group Practice | 9436142338 |
Receives reassigned benefits from 22 practitioners 2 other NPIs on this enrollment Practice locations: Cleveland, GA; Demorest, GA |
National Provider Directory
- Part of
- Mt Yonah Family Practic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | 4705360 | GA | Yes |
Addresses
Primary practice location
541 441 Historic Hwy N
Demorest, GA 30535-4528
Mailing address
PO Box 1629
Demorest, GA 30535-1629
Phone (706) 754-2161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100041 | Medicaid | NC | |
| 00000877A | Medicaid | GA | |
| 000185 | Other | GA | BLUE CROSS BLUE SHIELD |
| 0929352-00 | Medicaid | FL | |
| 10185B | Medicaid | SC | |
| 4705360 | Other | GA | LICENSE # |
Other providers in Demorest, GA
- 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
- Toccoa Clinic Medical Associates
- Total Care Anesthesia Partners LLC
All providers in Demorest, GA · Rural Acute Care Hospital in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.