NPIMap

Organization Active NPI

Hillcrest Clinic, LLC

Doing business as Hillcrest Clinic & Imaging

  • Family Medicine Physician
  • Blairsville, GA
National Provider Identifier
1831370188
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HILLCREST CLINIC, LLC
Doing business as
Hillcrest Clinic & Imaging
Hillcrest Family Care
Practice address
401 Pat Haralson Drive
Unit 1
Blairsville, GA 30512
Phone
(706) 745-8790
NPI assigned
Nov 15, 2007
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Elizabeth A Maddox
Title
Billing
Phone
(706) 745-8790

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

401 Pat Haralson Drive
Unit 1
Blairsville, GA 30512

Mailing address

401 Pat Haralson Dr Unit 1
Blairsville, GA 30512-8454
Phone (706) 745-8790

Other practice location 1

15 Earnest Dr
Blairsville, GA 30512-8627
Phone (706) 745-8790

Other names 2

  • HILLCREST CLINIC & IMAGING Doing business as
  • HILLCREST FAMILY CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000566 GA Part B Supplier - Clinic/Group Practice 6901700152 Receives reassigned benefits from 12 practitioners
Practice locations: Blairsville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0921540Hillcrest Family Care401 Pat Haralson Drive, Unit 1, Blairsville, GA 30512Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

294 Highway 515 W
Ste L
Blairsville, GA 30512
Phone (706) 745-8790

401 Pat Haralson Dr
Unit 1
Blairsville, GA 30512
Phone (706) 745-8790

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1831370188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PAT HARALSON DR UNIT 1",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128454",
            "telephone_number": "706-745-8790",
            "fax_number": "706-745-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PAT HARALSON DRIVE",
            "address_2": "UNIT 1",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "30512",
            "telephone_number": "706-745-8790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Earnest Dr",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305128627",
            "country_code": "US",
            "telephone_number": "706-745-8790",
            "fax_number": "706-745-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HILLCREST CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "706-745-8790"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILLCREST CLINIC & IMAGING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HILLCREST FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.