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HABERSHAM PRIMARY CARE
NPI 1093717357
Internal Medicine in Demorest, GA

Active since June 01, 2005CLIA 11D0676816 · Waiver
590 HISTORIC HWY 441 N, DEMOREST, GA 30535(706) 754-5511(706) 754-5577 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Habersham Primary Care NPPES

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

HABERSHAM PRIMARY CARE (NPI 1093717357) is a healthcare organization registered as an internal medicine in Demorest, Georgia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Beverly Carol Carter, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1093717357
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAMILY PRACTICE OF HABERSHAM PC
Location Address590 HISTORIC HWY 441 NDemorest, GA 30535
Mailing AddressPo Box 1779, 590 Historic Hwy 441 N.Demorest, GA 30535-1779 · (706) 754-5511 · Fax (706) 754-5577
Phone(706) 754-5511
Fax(706) 754-5577
Organization SubpartNo
Authorized OfficialBeverly Carol CarterPractice Manager · (706) 754-5511
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 4, 2012
✔ NPI 1093717357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 032741
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
590 HISTORIC HWY 441 N, Demorest, GA 30535
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Other Names 1

Doing Business AsHabersham Primary Care

Other Identifiers 2

Medicare ID-Type UnspecifiedCI7226GA · Railroad Medicare Number
Medicare ID-Type UnspecifiedGRP3078GA · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0676816

Family Practice Of Habersham, PC Dba Habersham Primary Care · Demorest, GA
Active · expires Oct 11, 2026
CLIA Number11D0676816
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorCope T. John
Laboratory Phone(706) 754-5511
Laboratory LocationFamily Practice Of Habersham, PC Dba Habersham Primary Care590 Historic Hwy 441 N, Demorest, GA 30535
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

FAMILY PRACTICE OF HABERSHAM PC
Clinic/Center (Primary Care)
590 HISTORIC HWY 441 N
DEMOREST, GA 30535
Habersham County (706) 754-5511
MRS. TABATHA P ANDERSON RN,MSN,FNPC
Nurse Practitioner (Primary Care)
590 HISTORIC HWY 441 N
DEMOREST, GA 30535
Habersham County (706) 754-5511
DR. JOHN TIMOTHY COPE M.D.
Internal Medicine
590 HISTORIC HWY 441 N
DEMOREST, GA 30535
Habersham County (706) 754-5511
JAMES E SPODEN M.D.
Otolaryngology
590 HISTORIC HWY 441 N, SUITE D
DEMOREST, GA 30535
Habersham County (706) 754-2161

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 Family Practice Of Habersham PC's NPI number?

The NPI number for Family Practice Of Habersham PC is 1093717357. It was assigned to this organization in the NPPES registry on June 1, 2005. The provider is doing business as Habersham Primary Care.

Where is Family Practice Of Habersham PC located?

Family Practice Of Habersham PC is located at 590 Historic Hwy 441 N, Demorest, GA 30535. The listed phone number is (706) 754-5511.

What is Family Practice Of Habersham PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Family Practice Of Habersham PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0676816) is associated with this NPI, valid through October 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Practice Of Habersham PC accept?

Health plans from Alliant Health Plans, Inc. list Family Practice Of Habersham PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Practice Of Habersham PC was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.