NPIMap

Organization Active NPI

East Georgia Healthcare Center, Inc.

Doing business as EGHC Student Health Center

  • Federally Qualified Health Center (FQHC)
  • Swainsboro, GA
National Provider Identifier
1861369464
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EAST GEORGIA HEALTHCARE CENTER, INC.
Doing business as
EGHC Student Health Center
Practice address
131 College Cir
Swainsboro, GA 30401-3643
Phone
(478) 494-9926
Fax
(478) 237-9138
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Jill R Sorrells
Title
Cfo
Phone
(478) 237-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

131 College Cir
Swainsboro, GA 30401-3643

Mailing address

215 N Coleman St
Swainsboro, GA 30401-3530
Phone (478) 237-2638

Other names 1

  • EGHC Student Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319003465 GA Part A Provider - Federally Qualified Health Center (FQHC) 0547228686 Practice locations: Swainsboro, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861369464. Details of each certification follow.

Federally qualified health center certification: CCN C21060

Legal name
EAST GEORGIA HEALTHCARE CENTER, INC.
Doing business as
EGHC STUDENT HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 5, 2025
Last certification
Nov 5, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
131 College Cir
Swainsboro, GA 30401-3643

Other NPIs with the same Medicare PAC ID 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
East Ga Hlthcare Ctr Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

131 College Cir
Swainsboro, GA 30401
Phone (424) 645-4401

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Joel Salgado Individual Corporate DirectorBoard Member Jan 1, 2021
Gwendolyn Love Individual Corporate DirectorBoard Member Jan 30, 2007
Tabitha Johns Individual Corporate DirectorAccounting Director Oct 1, 2024
Lynda Morgan Individual Corporate DirectorBoard Member Jan 30, 2007
Melissa Clifton Individual Corporate DirectorBoard Member Jan 1, 2025
Jennie W Denmark Individual Corporate OfficerCeo Jan 30, 2007
W-2 Managing EmployeeCeo Jan 30, 2007
Elizabeth Hendrix Individual Corporate DirectorBoard Member Jan 30, 2007
Kenneth Griffin Individual Corporate DirectorBoard Member Jan 1, 2025
Barbara Bruno Individual Corporate DirectorBoard Member Jan 1, 2025
Lynne Hillis Individual Corporate DirectorBoard Member Jan 1, 2025
Ken Mercer Individual Corporate DirectorBoard Member Mar 1, 2021
Luis Machado Individual Corporate DirectorBoard Member Mar 1, 2009
Amanda R Brown Individual Corporate DirectorBoard Member Mar 1, 2009
Herbert Hodges Individual Corporate DirectorBoard Member Jan 1, 2025
Jill R Sorrells Individual Corporate OfficerCfo Jul 22, 2005
W-2 Managing EmployeeCfo Jul 2, 2005

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Statesboro Pediatrics and Family Healthcare CenterStatesboro, GA, CCN 111931 Federally qualified health center Other Mar 12, 2013
East Georgia Healthcare Center, Inc.Baxley, GA, CCN 111977 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2014
East Georgia Healthcare Center, Inc.Millen, GA, CCN 111063 Federally qualified health center Operational/Managerial Control May 1, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1861369464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N COLEMAN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013530",
            "telephone_number": "478-237-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COLLEGE CIR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013643",
            "telephone_number": "478-494-9926",
            "fax_number": "478-237-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GEORGIA HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "SORRELLS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-237-6262"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EGHC Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swainsboro, GA

Sources for this page

Verify at the official NPI Registry.