NPIMap

Organization Active NPI

Stephens County Hospital Physician Group LLC

Doing business as Stephens County Hospital Cardiology

  • Multi-Specialty Clinic/Center
  • Toccoa, GA
National Provider Identifier
1730761818
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP LLC
Doing business as
Stephens County Hospital Cardiology
Practice address
230 Hospital Dr
Toccoa, GA 30577-6888
Phone
(706) 282-5860
Fax
(706) 282-5869
NPI assigned
Apr 27, 2021
Last updated
Nov 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Thomas Loskoski
Title
Ceo
Phone
(706) 282-5841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

230 Hospital Dr
Toccoa, GA 30577-6888

Mailing address

230 Hospital Dr
Toccoa, GA 30577-6888
Phone (706) 282-5860

Other names 1

  • Stephens County Hospital Cardiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160104001195 GA Part B Supplier - Clinic/Group Practice 7012219306 Receives reassigned benefits from 28 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hartwell, GA; Toccoa, GA; Clayton, GA

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
Stephens County Hospital Physician Group LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1730761818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HOSPITAL DR",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776888",
            "telephone_number": "706-282-5860",
            "fax_number": "706-282-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HOSPITAL DR",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776888",
            "telephone_number": "706-282-5860",
            "fax_number": "706-282-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "LOSKOSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-282-5841"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephens County Hospital Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.