PARKSIDE ELLIJAY
NPI 1083144109
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Ellijay, GA

Active since June 13, 2017
1362 S MAIN ST, ELLIJAY, GA 30540(706) 635-7881(706) 276-3698 Get Directions Write a Review

NPPES record last updated: June 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Parkside Ellijay NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARKSIDE ELLIJAY (NPI 1083144109) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Ellijay, Georgia and active in the NPI registry since June 2017. The organization lists Sheila Brockman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1083144109
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameSOUTHERN HEALTH CORP OF ELLIJAY
Location Address1362 S MAIN STEllijay, GA 30540-5410
Mailing AddressPo Box 2239Ellijay, GA 30540-0025 · (706) 635-7881 · Fax (706) 276-3698
Fax(706) 276-3698
Organization SubpartNo
Authorized OfficialSheila BrockmanChief Executive Officer · (706) 635-7881
Enumeration DateJune 13, 2017
NPI 1083144109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code261QR0401X
1362 S MAIN ST, Ellijay, GA 30540

Other Names 1

Doing Business AsParkside Ellijay

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
1362 S MAIN ST
ELLIJAY, GA 30540
Nurse Practitioner (Primary Care)
1362 S MAIN ST
ELLIJAY, GA 30540
Nurse Practitioner (Family)
1362 S MAIN ST
ELLIJAY, GA 30540
Emergency Medicine
1362 S MAIN ST
ELLIJAY, GA 30540
Durable Medical Equipment & Medical Supplies (Nursing Facility Supplies)
1362 S MAIN ST
ELLIJAY, GA 30540
Medicare Defined Swing Bed Unit
1362 S MAIN ST
ELLIJAY, GA 30540
Emergency Medicine
1362 S MAIN ST, EMERGENCY DEPARTMENT
ELLIJAY, GA 30540
Emergency Medicine (Emergency Medical Services)
1362 S MAIN ST
ELLIJAY, GA 30540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Health Corp Of Ellijay's NPI number?

The NPI number for Southern Health Corp Of Ellijay is 1083144109. It was assigned to this organization in the NPPES registry on June 13, 2017. The provider is doing business as Parkside Ellijay.

Where is Southern Health Corp Of Ellijay located?

Southern Health Corp Of Ellijay is located at 1362 S Main St, Ellijay, GA 30540. The listed phone number is (706) 635-7881.

What is Southern Health Corp Of Ellijay's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Southern Health Corp Of Ellijay was last updated on June 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.