Active NPI
East Georgia Healthcare Center, Inc.
- Federally Qualified Health Center (FQHC)
- Hazlehurst, GA
National Provider Identifier
1922917111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- EAST GEORGIA HEALTHCARE CENTER, INC.
- Practice address
- 15 N Walnut St
Hazlehurst, GA 31539-6255 - Phone
- (478) 237-2638
- NPI assigned
- Sep 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennie W Denmark
- Title
- Ceo
- Phone
- (912) 682-3007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
15 N Walnut St
Hazlehurst, GA 31539-6255
Mailing address
215 N Coleman St
Swainsboro, GA 30401-3530
Phone (478) 237-2638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1922917111",
"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",
"fax_number": "478-237-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N WALNUT ST",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396255",
"telephone_number": "478-237-2638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST GEORGIA HEALTHCARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "DENMARK",
"authorized_official_first_name": "JENNIE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "912-682-3007"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlehurst, GA
- Dehaven Healthcare, Inc.
- Robert W. Dehaven, M.S., NCC, LPC, DAPA
- Dr. Jason R Laney, PC (Laney Internal Medicine Group)
- Elizabeth Sha Duque, APRN
- DZH, Inc (Therapy Services of Georgia)
- Megan Marchant East, SLP
- Rachel Edenfield, PT
- Ralph H Edwards Jr., LPC
- Elite Medical Associates, PC
- Family Healthcare Connections, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.