Highlands Medical Plaza
LBN: Georgia Highlands Medical Services, Inc
Highlands Medical Plaza is an health care organization with primary practice located at 475 Tribble Gap Rd , Cumming GA 30040-2478. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Georgia Highlands Medical Services, Inc can be contacted via phone (770) 887-1668, or through Shifflet, Todd via phone (770) 887-1668.
Contact Information
Primary practice address
475 Tribble Gap Rd
Cumming GA 30040-2478
Phone: (770) 887-1668
Fax: (770) 781-9937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1407306418 |
|---|---|
| LBN Legal business name | Georgia Highlands Medical Services, Inc |
| DBA Doing business as | Highlands Medical Plaza |
| Authorized official | Shifflet, Todd |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2016 |
| Last updated | May 9th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407306418 | NPPES |
| Georgia | Other | GRP1700 | MEDICARE PIN |
| Georgia | MEDICAID | 003183795A | MEDICARE PIN |
| Georgia | MEDICAID | 300022400A | MEDICARE PIN |
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