Blue Ridge Georgia Hospital Company LLC
Organization Active NPI Critical Access Hospital · Blue Ridge, GA
NPI 1851362263 · NPPES record last updated Dec 4, 2025
Key facts
- NPI
- 1851362263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC
- Practice address
- 2855 Old Highway 5
Blue Ridge, GA 30513-6248 - Phone
- (706) 632-3711
- Fax
- (706) 632-7216
- NPI assigned
- Feb 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Melissa N Eaton, RHIA
- Title
- Quality Him Director
- Phone
- (706) 632-4270
Owners & managing parties with NPI records 2
-
Dean Dale Worthingstun, D.O.
Subparts reporting this organization as parent 1
Facilities with the same owner 5
Practitioners 4
-
Dean Dale Worthingstun, D.O.
-
Julie Bradburn, M.ED, CCC-SLP
Affiliated clinicians 97
-
Santhi Adigopula, MD
-
Birmaji Ali, MD
-
Robert G Baeten II, PA-C
-
Nicole Battaglioli, M.D.
-
Jason Andrew Berner, M.D.
-
Douglas Keith Bradford, CRNA
-
Lacy O'Shea Bramlett, FNP-BC
-
John Brunette, MD
-
Megan Cheatham, NP
-
Dana Conner, M.D.
-
Courtney A Craine, CRNA
-
Gregory Robert Crawley, M.D.
-
Elizabeth Culp, M.D.
-
Shengchuan Dai, MD
-
Morgan M Garrett, D.O.
-
Crystal B Gary, MD
Medicare Care Compare: Hospital
- Listed as
- Blue Ridge Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Hospital certification: CCN 111338
- Legal name
- BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC
- Doing business as
- BLUE RIDGE MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jun 16, 2025
- Last certification
- Jul 1, 2023
- Beds
- 25
- Ownership / control type
- Other
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 2855 Old Highway 5
Blue Ridge, GA 30513-6248
Hospital certification: CCN 11Z338
- Legal name
- BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC
- Doing business as
- BLUE RIDGE MEDICAL CENTER
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 2855 Old Highway 5
Blue Ridge, GA 30513-6248
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Evelyn Hammond |
Corporate Officer |
Sep 30, 2024 | |
| Gary R Poquette |
Corporate Officer |
Sep 30, 2024 | |
| Dava Health, Inc. |
Other | Sep 30, 2024 | |
| Steven N Efird |
Corporate Officer |
Sep 30, 2024 | |
| Corporate Officer |
Sep 30, 2024 | ||
| Java Medical Group LLC |
Operational/Managerial Control | Sep 30, 2024 | |
| Gilita Carter |
Corporate Officer |
Sep 30, 2024 | |
| Ashoke Mukherji |
Corporate Director | Sep 30, 2024 | |
| Corporate Officer | Sep 30, 2024 | ||
| Dean D Worthingstun |
Corporate Officer |
Sep 30, 2024 | |
| Melissa Eaton |
Corporate Officer |
Sep 30, 2024 | |
| Stacy Chastain |
Corporate Officer |
Sep 30, 2024 | |
| Jennifer Addington |
W-2 Managing Employee |
Sep 30, 2024 | |
| W-2 Managing Employee |
Sep 30, 2024 | ||
| Shelly Stiles |
Corporate Officer |
Sep 30, 2024 | |
| Blue Ridge Georgia Hospital Company LLC |
5% Or Greater Direct Ownership Interest | Sep 30, 2024 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250724001501 | GA | Part a Provider - Critical Access Hospital | 9133116049 | Practice locations: Blue Ridge, GA |
| O20250725002622 | GA | Part a Provider - Critical Access Hospital | 9133116049 | Practice locations: Blue Ridge, GA |
National Provider Directory
Locations
2855 Old Highway 5
Ste 102
Blue Ridge, GA 30513
Phone (706) 632-1440
101 Riverstone Vis
Ste 113
Blue Ridge, GA 30513
Phone (706) 964-4261
772 Maddox Dr
Ste 126
East Ellijay, GA 30540
Phone (706) 273-2105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| General Acute Care Hospital | 282N00000X | 055-452 | GA | |
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
2855 Old Highway 5
Blue Ridge, GA 30513-6248
Mailing address
PO Box 198161
Atlanta, GA 30384-8161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100189 | Medicaid | GA | |
| 0053487 | Medicaid | TN | |
| 0110189 | Medicaid | TN | |
| 000157 | Other | BCBS | |
| 053487 | Other | BC TN | |
| 182266100 | Other | W/C |
Other names
- Blue Ridge Medical Center
- Fannin Regional Hospital
Other providers in Blue Ridge, GA
- Blue Ridge Concierge Medicine LLC
- Blue Ridge Dermatology
- Blue Ridge Dermatology
- Blue Ridge Georgia Hospital Company LLC
- Blue Ridge Georgia Hospital Company LLC
- Blue Ridge Health Care Center, Inc.
- Blue Ridge Mountain Ophthalmology LLC
- Blue Ridge Pharmacy
- Blue Ridge Psychiatric Consultants
- Blue Ridge Psychological Services, LLC
All providers in Blue Ridge, GA · Critical Access Hospital in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.