EAST GEORGIA HEALTHCARE CENTER, INC.
NPI 1487892857
Clinic/Center - Federally Qualified Health Center (FQHC) in Mount Vernon, GA
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 1487892857) is a healthcare organization registered as a federally qualified health center (fqhc) in Mount Vernon, Georgia and active in the NPI registry since January 2009. The organization holds a CLIA Microscopy certificate valid through February 16, 2027 and lists Jill R Sorrells, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Georgia Healthcare Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
46Medicare enrollment records show 46 clinicians reassign Medicare billing to East Georgia Healthcare Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 46Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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) 11D1095724
East Georgia Healthcare Center Inc · Mount Vernon, GAFrequently 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 1487892857. It was assigned to this organization in the NPPES registry on January 23, 2009.
Where is East Georgia Healthcare Center, Inc. located?
East Georgia Healthcare Center, Inc. is located at 118 E Broad St, Mount Vernon, GA 30445. The listed phone number is (478) 237-2638.
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.
Is East Georgia Healthcare Center, Inc. enrolled in Medicare?
Yes. East Georgia Healthcare Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Georgia Healthcare Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 11 Medicare specialties reassign their Medicare billing to East Georgia Healthcare Center, Inc.. 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. The largest specialties are Nurse Practitioner (27), Chiropractic (3) and Clinical Social Worker (3). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Georgia Healthcare Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1095724) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for East Georgia Healthcare Center, Inc. was last updated on August 4, 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.
# East Georgia Healthcare Center, Inc. · NPI 1487892857
Federally Qualified Health Center (FQHC) organization in Mount Vernon, Georgia. Organization record, active in the CMS NPPES registry since January 23, 2009.
## Identity
- **NPI:** 1487892857 (Entity type: Organization)
- **Enumerated:** January 23, 2009
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Jill Sorrells, CFO
## Practice location
- **Address:** 118 E BROAD ST, Mount Vernon, GA 30445-3018
- **Phone:** (478) 237-2638 · **Fax:** (478) 237-9138
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 46 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (27), Chiropractic (3), Clinical Social Worker (3); 1 practice at this address; [full list](https://npiprofile.com/npi/1487892857/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2014
- **Other identifiers:** Medicaid 000632376K (GA); Medicare OSCAR/certification 111919; Medicare PIN 111919
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487892857) · Data from the CMS NPPES public registry.