North Georgia Family Practice

LBN: Southern Health Corp Of Ellijay
North Georgia Family Practice is an health care organization with primary practice located at 60 Old Highway 5 South , Ellijay GA 30540-5436. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Southern Health Corp Of Ellijay can be contacted via phone (706) 276-4741, or through Self, Debbie Ann via phone (706) 276-4741.

Contact Information

Primary practice address
60 Old Highway 5 South Ellijay GA 30540-5436
Fax: (706) 276-4645
Website:
Authorized official contact:
Name: Self, Debbie Ann

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 061435 Georgia

Profile Details

NPI number 1013248962
LBN Legal business name Southern Health Corp Of Ellijay
DBA Doing business as North Georgia Family Practice
Authorized official Self, Debbie Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2010
Last updated Jan 28th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013248962 NPPES
Georgia Other 118527 RURAL HEALTH CLINIC

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