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MEDLINK COLBERT
NPI 1427156264
Clinic/Center - Federally Qualified Health Center (FQHC) in Colbert, GA

Active since September 20, 2006CLIA 11D2285290 · Waiver
11 CHARLIE MORRIS RD, COLBERT, GA 30628(706) 788-2127 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2022, Feb 8, 2016 (2 updates tracked since 2016).

About Medlink Colbert NPPES

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

MEDLINK COLBERT (NPI 1427156264) is a healthcare organization registered as a federally qualified health center (fqhc) in Colbert, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists David Ward, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427156264
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMEDLINK GEORGIA INC
Location Address11 CHARLIE MORRIS RDColbert, GA 30628-2445
Mailing AddressPo Box 459Colbert, GA 30628-0459
Phone(706) 788-2127
Organization SubpartYes
Authorized OfficialDavid WardCeo · (706) 788-3234
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 3, 20222 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1427156264 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
11 CHARLIE MORRIS RD, Colbert, GA 30628
Open in Google Maps ↗

Other Names 1

Other NameMedlink Colbert

Other Identifiers 1

Medicaid000471765CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medlink Colbert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20240103003834DME · Physician - PodiatryDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 11D2285290

Medlink Mobile 1 · Colbert, GA
Active · expires Jul 10, 2027
CLIA Number11D2285290
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorSamuel Kazuc Sencil
Laboratory Phone(706) 788-3234
Laboratory LocationMedlink Mobile 111 Charlie Morris Road, Colbert, GA 30628
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

CAMERON DEAN WAGENBRENNER MD
Internal Medicine
11 CHARLIE MORRIS RD
COLBERT, GA 30628
Madison County (706) 788-2127
SAVANNAH LEIGH SMITH LCSW
Social Worker (Clinical)
11 CHARLIE MORRIS RD
COLBERT, GA 30628
Madison County (706) 788-2127
MRS. SARAH SAMMONS APRN, FNP-BC
Nurse Practitioner (Family)
11 CHARLIE MORRIS RD
COLBERT, GA 30628
Madison County (067) 882-1277
EVAN GROVENSTEIN DNP, APRN, FNP-C
Nurse Practitioner (Family)
11 CHARLIE MORRIS RD
COLBERT, GA 30628
Madison County (706) 788-2127
YVETTE HENDERSON
Counselor (Mental Health)
11 CHARLIE MORRIS RD
COLBERT, GA 30628
Madison County (706) 788-2127
JUSTIN SOUTER NP
Nurse Practitioner (Family)
11 CHARLIE MORRIS RD
COLBERT, GA 30628
Madison County (706) 521-3113
KARLA COCO
Nurse Practitioner (Family)
11 CHARLIE MORRIS RD
COLBERT, GA 30628
Madison County (706) 788-2127
MEDLINK GEORGIA INC
Pharmacy (Community/Retail Pharmacy)
11 CHARLIE MORRIS RD
COLBERT, GA 30628
Madison County (678) 975-3493

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 Medlink Georgia Inc's NPI number?

The NPI number for Medlink Georgia Inc is 1427156264. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is also known as Medlink Colbert.

Where is Medlink Georgia Inc located?

Medlink Georgia Inc is located at 11 Charlie Morris Rd, Colbert, GA 30628. The listed phone number is (706) 788-2127.

What is Medlink Georgia Inc's specialty?

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

Is Medlink Georgia Inc enrolled in Medicare?

Yes. Medlink Georgia Inc is registered in the Medicare PECOS enrollment system.

When is Medlink Georgia Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Georgia, Physician - Podiatry) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Medlink Georgia Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2285290) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medlink Georgia Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Medlink Georgia 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 Medlink Georgia Inc was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.