NPIMap

Organization Active NPI

Medical Specialists, Inc

  • Rural Health Clinic/Center
  • Wrens, GA
National Provider Identifier
1851334015
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MEDICAL SPECIALISTS, INC
Practice address
406 E Broad St
Wrens, GA 30833-1113
Phone
(706) 547-7008
Fax
(706) 547-6008
NPI assigned
Jun 14, 2006
Organization subpart
Yes
Parent organization
MEDICAL SPECIALISTS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Ms. Debbie M Metz
Title
Practice Administrator
Phone
(706) 554-5147

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

406 E Broad St
Wrens, GA 30833-1113

Mailing address

305 Jones Ave
Waynesboro, GA 30830-1510
Phone (706) 544-5147

Other identifiers 2

IdentifierTypeStateIssuer
CA6260OtherGAPALMETTO GBA RAILROAD
00679775AMedicaidGA

Other names 1

  • NORTH JEFFERSON MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111213000260 GA Part A Provider - Rural Health Clinic 0840108478 Practice locations: Wrens, GA

Rural health clinic certification: CCN 113882

Legal name
MEDICAL SPECIALISTS
Doing business as
NORTH JEFFERSON MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 6, 1995
Last certification
Aug 13, 2021
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Apr 3, 1979 in GA
Enrollment address
406 East Broad St
Wrens, GA 30833-1113

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
11D0913200North Jefferson Medical Center406 East Broad St, Wrens, GA 30833ComplianceJul 31, 2026

National Provider Directory

National Provider Directory
Part of
Harvey J Sanders Jr MD

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Harvey J Sanders Individual 5% Or Greater Direct Ownership InterestSecretary Jul 1, 2006 16.67%
Corporate OfficerSecretary Jul 1, 2006 14%
W-2 Managing Employee Jul 1, 2006
Johnny Franklin Christian Individual 5% Or Greater Direct Ownership InterestBoard Member Jul 1, 2006 16.67%
W-2 Managing Employee Jul 1, 2006
Frank L Carter Individual 5% Or Greater Direct Ownership InterestBoard Member Jul 1, 2006 16.67%
W-2 Managing Employee Jul 1, 2006
Joseph L Jackson Individual 5% Or Greater Direct Ownership InterestBoard Member Jul 1, 2006 16.67%
Corporate OfficerTreasure Jul 1, 2006 14%
W-2 Managing Employee Jul 1, 2006
Shelley a Griffin Individual 5% Or Greater Direct Ownership InterestBoard Member Jul 1, 2006 16.67%
Corporate OfficerPresident Jul 1, 2006 14%
W-2 Managing Employee Jul 1, 2006
Timothy Kinsey Individual 5% Or Greater Direct Ownership InterestBoard Member Jan 1, 2017 16.67%

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1851334015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 JONES AVE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301510",
            "telephone_number": "706-544-5147",
            "fax_number": "706-544-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E BROAD ST",
            "city": "WRENS",
            "state": "GA",
            "postal_code": "308331113",
            "telephone_number": "706-547-7008",
            "fax_number": "706-547-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL SPECIALISTS INC.",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-554-5147",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "CA6260",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00679775A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH JEFFERSON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wrens, GA

Sources for this page

Verify at the official NPI Registry.