NPIMap

Organization Active NPI

Blue Ridge Georgia Hospital Company LLC

Doing business as Blue Ridge Medical Center

  • Critical Access Hospital
  • Blue Ridge, GA
National Provider Identifier
1851362263
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC
Doing business as
Blue Ridge Medical Center
Fannin Regional Hospital
Practice address
2855 Old Highway 5
Blue Ridge, GA 30513-6248
Phone
(706) 632-3711
Fax
(706) 632-7216
NPI assigned
Feb 1, 2006
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Melissa N Eaton, RHIA
Title
Quality Him Director
Phone
(706) 632-4270

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
General Acute Care Hospital 282N00000X 055-452 GA
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

2855 Old Highway 5
Blue Ridge, GA 30513-6248

Mailing address

PO Box 198161
Atlanta, GA 30384-8161

Other names 2

  • Blue Ridge Medical Center Doing business as
  • Fannin Regional Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1851362263. Details of each certification follow.

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
CorporationProprietary
Enrollment address
2855 Old Highway 5
Blue Ridge, GA 30513-6248
Hospital Swing-Bed Unit

Hospital certification: CCN 11Z338

Legal name
BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC
Doing business as
BLUE RIDGE MEDICAL CENTER
Organization structure
CorporationProprietary
Enrollment address
2855 Old Highway 5
Blue Ridge, GA 30513-6248
Hospital Swing-Bed Unit

Hospital certification: CCN 110780

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BLUE RIDGE MEDICAL CENTER
Certification status
Terminated Other: provider status change, Jun 15, 2025
Provider type (POS)
Hospital – Rural emergency hospital
Participating since
Jul 1, 2023
Last certification
Jul 1, 2023
Beds
50
Ownership / control type
Private (for profit)
Facility address
2855 Old Highway 5 North
Blue Ridge, GA 30513

Care Compare: Hospital

Medicare Care Compare
Listed as
Blue Ridge Medical CenterCCN 111338 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

101 Riverstone Vis
Ste 105
Blue Ridge, GA 30513
Phone (706) 258-4120

101 Riverstone Vis
Ste 113
Blue Ridge, GA 30513
Phone (706) 964-4261

2855 Old Highway 5
Ste 102
Blue Ridge, GA 30513
Phone (706) 632-1440

772 Maddox Dr
Ste 126
East Ellijay, GA 30540
Phone (706) 273-2105

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Evelyn Hammond Individual Corporate OfficerReports to Mec & Board Sep 30, 2024
Gary R Poquette Individual Corporate OfficerCeo Reports to the Board Sep 30, 2024
Dava Health, Inc. Organization, Nashville, TN Non-profit Other Sep 30, 2024
Steven N Efird Individual Corporate OfficerCmo Reports to the Board Sep 30, 2024
Corporate OfficerCeo Reports to the Board Sep 30, 2024
Java Medical Group LLC Organization, Nashville, TN Holding company Operational/Managerial Control Sep 30, 2024
Gilita Carter Individual Corporate OfficerCommunity Board Member Sep 30, 2024
Ashoke Mukherji Individual Corporate Director Sep 30, 2024
Corporate Officer Sep 30, 2024
Dean D Worthingstun Individual Corporate OfficerChief of Staff Sep 30, 2024
Melissa Eaton Individual Corporate OfficerReports to Mec & Board Sep 30, 2024
Stacy Chastain Individual Corporate OfficerCommunity Board Member Sep 30, 2024
Jennifer Addington Individual W-2 Managing EmployeeAd;Admin Asst/Med Staff Coord Sep 30, 2024
W-2 Managing EmployeeAdministrator Asst/Med Staff Coord Sep 30, 2024
Shelly Stiles Individual Corporate OfficerReports to Mec & Board Sep 30, 2024
Blue Ridge Georgia Hospital Company LLC Organization, Blue Ridge, GA Holding company 5% Or Greater Direct Ownership Interest Sep 30, 2024 100%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 97

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1851362263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198161",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 OLD HIGHWAY 5",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136248",
            "telephone_number": "706-632-3711",
            "fax_number": "706-632-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "QUALITY HIM DIRECTOR",
        "authorized_official_telephone_number": "706-632-4270",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "055-452",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fannin Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fannin Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.