NPIMap

Organization Active NPI

Hidden Valley Medical Center Inc

  • Rural Health Clinic/Center
  • Blue Ridge, GA
National Provider Identifier
1710215355
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HIDDEN VALLEY MEDICAL CENTER INC
Practice address
4799 Blue Ridge Dr
Suite 104
Blue Ridge, GA 30513-3240
Phone
(706) 258-4868
Fax
(706) 258-1165
NPI assigned
Nov 19, 2009
Organization subpart
Yes
Parent organization
HIDDEN VALLEY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Sophia Arwood
Title
Director Physician Operations
Phone
(615) 628-6038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X GA Primary

Addresses

Primary practice location

4799 Blue Ridge Dr
Suite 104
Blue Ridge, GA 30513-3240

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 628-6038

Other identifiers 1

IdentifierTypeStateIssuer
003108331AMedicaidGA

Other names 1

  • Appalachian Physicians Group Doing business as

National Provider Directory

National Provider Directory
Part of
Hidden Valley Medical C

Locations

35 Hospital Way
Blairsville, GA 30512
Phone (706) 632-4217

101 Riverstone Vis
Ste 206
Blue Ridge, GA 30513
Phone (706) 492-3200

4799 Blue Ridge Dr
Ste 100
Blue Ridge, GA 30513
Phone (706) 964-3345

2855 Old Highway 5
Ste 104
Blue Ridge, GA 30513
Phone (706) 258-4868

2925 Old Hwy 5
Ste 106
Blue Ridge, GA 30513
Phone (706) 632-2066

101 Riverstone Vis
Ste 211
Blue Ridge, GA 30513
Phone (706) 632-3670

101 Riverstone Vis
Ste 105
Blue Ridge, GA 30513
Phone (706) 258-4120

2855 Old Highway 5
Ste 108
Blue Ridge, GA 30513
Phone (706) 258-4656

2855 Old Highway 5
Ste 105
Blue Ridge, GA 30513
Phone (706) 258-3661

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1710215355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-628-6038",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4799 BLUE RIDGE DR",
            "address_2": "SUITE 104",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305133240",
            "telephone_number": "706-258-4868",
            "fax_number": "706-258-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN VALLEY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIDDEN VALLEY MEDICAL CENTER INC",
        "enumeration_date": "2009-11-19",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "ARWOOD",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "DIRECTOR PHYSICIAN OPERATIONS",
        "authorized_official_telephone_number": "615-628-6038"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003108331A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.