Rabun Medical Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

027807 Issued in GA

Legal business name

RABUN MEDICAL CENTER, LLC

Practice address

773 N Main St
Clayton, GA 30525-4257

Phone

(706) 782-0468

Fax

(706) 782-1488

NPI assigned

Mar 7, 2007

Last updated

May 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

M. Kathy Easterling, M.D.

Title

President

Phone

(706) 782-0468

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Rabun Medical Clinic, PC Former legal business name

Locations

Practitioners 1

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.

• Georges Ibrahim Khouri, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1518097468
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1740310614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305250023",
            "telephone_number": "706-782-0468",
            "fax_number": "706-782-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 N MAIN ST",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254257",
            "telephone_number": "706-782-0468",
            "fax_number": "706-782-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABUN MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "EASTERLING",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-782-0468",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "051960",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "051960",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "027807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716351517A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rabun Medical Clinic, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Professional Resources Management of Rabun LLC (Mountain Lakes Physicians Group)
• Professional Resources Management of Rabun, LLC (Mountain Lakes Medical Center)
• Rabun County Board of Commissioners
• Rabun County Board of Health (Rabun County Health Department)
• Rabun County School System
• Deborah Ramona Racadag, BSN, RN, CCHP-N
• Beverly June Ramey, FNP
• Nancy M Rampell, MD
• Yevette Suzette Ray, LDO
• Carey Winn Reynolds, LMT

• General Practice Physician in Clayton, GA
• Providers in Clayton, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.