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FLINT RIVER RURAL HEALTH CLINIC - OGLETHORPE
NPI 1104914480
Clinic/Center - Rural Health in Montezuma, GA

Active since October 11, 2006CLIA 11D0673460 · Microscopy
502 SUMTER ST, MONTEZUMA, GA 31063(478) 472-8178(478) 472-3289 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Flint River Rural Health Clinic - Oglethorpe NPPES

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

FLINT RIVER RURAL HEALTH CLINIC - OGLETHORPE (NPI 1104914480) is a healthcare organization registered as a rural health in Montezuma, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through July 14, 2028 and lists Michael C Patterson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104914480
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBACCHUS OPERATIONS GROUP, INC.
Location Address502 SUMTER STMontezuma, GA 31063-1734
Mailing Address509 Sumter St, P.o. Box 770 (31063-2502)Montezuma, GA 31063-1733 · (478) 472-3100 · Fax (478) 472-3248
Phone(478) 472-8178
Fax(478) 472-3289
Organization SubpartNo
Authorized OfficialMichael C PattersonChief Executive Officer · (478) 472-3100
Enumeration DateOctober 11, 2006
Last NPPES UpdateJune 10, 2014
✔ NPI 1104914480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
502 SUMTER ST, Montezuma, GA 31063
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Other Names 1

Doing Business AsFlint River Rural Health Clinic - Oglethorpe

Other Identifiers 2

Medicare ID-Type Unspecified113431
Medicaid00014987CGA

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) 11D0673460

Flint River Rural Health Clinic · Montezuma, GA
Active · expires Jul 14, 2028
CLIA Number11D0673460
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorQuincy J. Jordan
Laboratory Phone(912) 472-8178
Laboratory LocationFlint River Rural Health Clinic502 Sumter Street, Montezuma, GA 31063
CLIA data matches this NPI record on: Address Name
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 7

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

MR. CARL GLENN OLIVER PA
Physician Assistant (Medical)
502 SUMTER ST
MONTEZUMA, GA 31063
Macon County (478) 472-8178
BACCHUS OPERATIONS GROUP, INC
Clinic/Center (Urgent Care)
502 SUMTER ST, SUITE B
MONTEZUMA, GA 31063
Macon County (478) 472-8178
MACON COUNTY MEDICAL CENTER, INC DBA FLINT RIVER COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
502 SUMTER ST
MONTEZUMA, GA 31063
Macon County (478) 472-7429
WILLIAM M. MCDONALD, D.O. LLC
Family Medicine
502 SUMTER ST
MONTEZUMA, GA 31063
Macon County (478) 472-6713
FLINT RIVER PRIMARY CARE
Family Medicine
502 SUMTER ST
MONTEZUMA, GA 31063
Macon County (478) 472-6713
PREMIER HEALTHCARE INVESTMENTS
Clinic/Center (Rural Health)
502 SUMTER ST
MONTEZUMA, GA 31063
Macon County (478) 472-3100
LEE M HUGHES NP
Nurse Practitioner (Family)
502 SUMTER ST
MONTEZUMA, GA 31063
Macon County (478) 472-8178

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 Bacchus Operations Group, Inc.'s NPI number?

The NPI number for Bacchus Operations Group, Inc. is 1104914480. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Flint River Rural Health Clinic - Oglethorpe.

Where is Bacchus Operations Group, Inc. located?

Bacchus Operations Group, Inc. is located at 502 Sumter St, Montezuma, GA 31063. The listed phone number is (478) 472-8178.

What is Bacchus Operations Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Bacchus Operations Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0673460) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bacchus Operations Group, Inc. was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.