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EAST GEORGIA HEALTHCARE CENTER, INC.
NPI 1487892857
Clinic/Center - Federally Qualified Health Center (FQHC) in Mount Vernon, GA

Active since January 23, 2009CLIA 11D1095724 · Microscopy
118 E BROAD ST, MOUNT VERNON, GA 30445(478) 237-2638(478) 237-9138 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1487892857
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST GEORGIA HEALTHCARE CENTER, INC.
Location Address118 E BROAD STMount Vernon, GA 30445-3018
Mailing Address128 S Main StSwainsboro, GA 30401-3618 · (478) 237-6262 · Fax (478) 237-6221
Phone(478) 237-2638
Fax(478) 237-9138
Organization SubpartNo
Authorized OfficialJill R SorrellsCfo · (478) 237-6262
Enumeration DateJanuary 23, 2009
Last NPPES UpdateAugust 4, 2014
✔ NPI 1487892857 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
118 E BROAD ST, Mount Vernon, GA 30445
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Other Identifiers 3

Medicaid000632376KGA
Medicare OSCAR/certification111919
Medicare PIN111919

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

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, GA
Active · expires Feb 16, 2027
CLIA Number11D1095724
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorEmily Tatum
Laboratory Phone(912) 583-2277
Laboratory LocationEast Georgia Healthcare Center Inc118 E Broad Street, Mount Vernon, GA 30445
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

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

LAURIE HUTCHINS APRN
Nurse Practitioner (Family)
118 E BROAD ST
MOUNT VERNON, GA 30445
Montgomery County (912) 583-2277

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 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.

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.

What insurance does East Georgia Healthcare Center, Inc. accept?

Health plans from Mending Health list East Georgia Healthcare Center, 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 East Georgia Healthcare Center, Inc. was last updated on August 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.