FAMILY PRACTICE OF HABERSHAM PC
NPI 1124154794
Clinic/Center - Primary Care in Demorest, GA
About Family Practice Of Habersham Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY PRACTICE OF HABERSHAM PC (NPI 1124154794), doing business as Habersham Primary Care, is a healthcare organization registered as a primary care in Demorest, Georgia and active in the NPI registry since February 2007. The organization lists Beverly C Carter, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Practice Of Habersham Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Practice Of Habersham PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1124154794. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider was formerly known 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 Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Family Practice Of Habersham PC enrolled in Medicare?
Yes. Family Practice Of Habersham PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Practice Of Habersham PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family Practice Of Habersham PC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Family Practice Of Habersham PC was last updated on December 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Family Practice Of Habersham Pc · NPI 1124154794
Primary Care organization in Demorest, Georgia. Organization record, active in the CMS NPPES registry since February 26, 2007.
## Identity
- **NPI:** 1124154794 (Entity type: Organization)
- **Enumerated:** February 26, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Beverly Carter, MANAGER
## Practice location
- **Address:** 590 HISTORIC HWY 441 N, Demorest, GA 30535-1779
- **Phone:** (706) 754-5511 · **Fax:** (706) 754-5577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2008
- **Other identifiers:** Other GRP3078 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1124154794) · Data from the CMS NPPES public registry.