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FOUR COUNTY HEALTH CARE
NPI 1114056934
Clinic/Center - Adult Day Care in Richland, GA

Active since March 05, 2007CLIA 11D0646178 · Waiver
99 OVERBY DR, RICHLAND, GA 31825(229) 887-2021(229) 887-3978 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Four County Health Care NPPES

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

FOUR COUNTY HEALTH CARE (NPI 1114056934) is a healthcare organization registered as an adult day care in Richland, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kim Sheffield, Vp Of Financial Reporting, as its authorized official.

NPPES Registry Identity

NPI1114056934
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameFOUR COUNTY HEALTH CARE, LLC
Location Address99 OVERBY DRRichland, GA 31825-1322
Mailing AddressPo Box 339Richland, GA 31825-0339 · (229) 887-2021 · Fax (229) 887-3978
Phone(229) 887-2021
Fax(229) 887-3978
Organization SubpartNo
Authorized OfficialKim SheffieldVp Of Financial Reporting · (478) 621-2100
Enumeration DateMarch 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114056934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in GA · 1-128-1712
99 OVERBY DR, Richland, GA 31825
Open in Google Maps ↗

Other Names 1

Doing Business AsFour County Health Care

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 11D0646178

Four County Health Care · Richland, GA
Active · expires Aug 31, 2026
CLIA Number11D0646178
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael D. Satchell
Laboratory Phone(229) 887-2021
Laboratory LocationFour County Health Care124 Overby Drive, Richland, GA 31825
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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.

FOUR COUNTY HEALTH CARE, LLC
Respite Care
99 OVERBY DR
RICHLAND, GA 31825
Stewart County (229) 887-2021

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 Four County Health Care, LLC's NPI number?

The NPI number for Four County Health Care, LLC is 1114056934. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Four County Health Care.

Where is Four County Health Care, LLC located?

Four County Health Care, LLC is located at 99 Overby Dr, Richland, GA 31825. The listed phone number is (229) 887-2021.

What is Four County Health Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Four County Health Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0646178) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Four County Health Care, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.