NPIMap

Organization Active NPI

The Hospital Authority of Habersham County

  • Rural Acute Care Hospital
  • Demorest, GA
National Provider Identifier
1689736282
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
4705360 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
Dec 14, 2006
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Stephen Tyler Williams
Title
Ceo
Phone
(706) 754-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 4705360 GA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Hosp Auth of Habersham Co

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 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1689736282",
    "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": "2006-12-14",
        "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": "CEO",
        "authorized_official_telephone_number": "706-754-3113"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "GA",
            "license": "4705360",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.