EAST GEORGIA HEALTHCARE CENTER, INC.
NPI 1093754905
Clinic/Center - Federally Qualified Health Center (FQHC) in Reidsville, GA

Active since June 06, 2006CLIA 11D1012953 · Microscopy
117 MEMORIAL DR, REIDSVILLE, GA 30453(912) 557-3300(912) 557-3328 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Georgia Healthcare Center, Inc. NPPES

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

EAST GEORGIA HEALTHCARE CENTER, INC. (NPI 1093754905) is a healthcare organization registered as a federally qualified health center (fqhc) in Reidsville, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through May 26, 2027 and lists Jennie Wren Denmark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093754905
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST GEORGIA HEALTHCARE CENTER, INC.
Location Address117 MEMORIAL DRReidsville, GA 30453-4641
Mailing Address215 N Coleman StSwainsboro, GA 30401-3530 · (478) 237-2638 · Fax (478) 237-9138
Fax(912) 557-3328
Organization SubpartNo
Authorized OfficialJennie Wren DenmarkCeo · (478) 237-2638
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 31, 2015
NPI 1093754905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
117 MEMORIAL DR, Reidsville, GA 30453

Other Identifiers 2

Medicaid000632376FGA
Other111887Medicare Provider Number

Accepted 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 for Provider-Performed Microscopy Procedures (PPMP) 11D1012953

East Georgia Healthcare Center Inc · Reidsville, GA
Active · expires May 26, 2027
CLIA Number11D1012953
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorSheldon Martin
Laboratory Phone(912) 557-3300
Laboratory LocationEast Georgia Healthcare Center Inc117 Memorial Dr, Reidsville, GA 30453
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
117 MEMORIAL DR
REIDSVILLE, GA 30453

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 East Georgia Healthcare Center, Inc.'s NPI number?

The NPI number for East Georgia Healthcare Center, Inc. is 1093754905. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is East Georgia Healthcare Center, Inc. located?

East Georgia Healthcare Center, Inc. is located at 117 Memorial Dr, Reidsville, GA 30453. The listed phone number is (912) 557-3300.

What is East Georgia Healthcare Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does East Georgia Healthcare Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1012953) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Georgia Healthcare Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list East Georgia Healthcare Center, Inc. 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 East Georgia Healthcare Center, Inc. was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.