EAST GEORGIA HEALTHCARE CENTER INC
NPI 1528658911
Clinic/Center - Federally Qualified Health Center (FQHC) in Stillmore, 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 1528658911) is a healthcare organization registered as a federally qualified health center (fqhc) in Stillmore, Georgia and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Jill R Sorrells, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 11D2213301
East Georgia Healthcare Center Inc · Stillmore, 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 1528658911. It was assigned to this organization in the NPPES registry on January 20, 2021.
Where is East Georgia Healthcare Center Inc located?
East Georgia Healthcare Center Inc is located at 1 Plant Ave, Stillmore, GA 30464. The listed phone number is (912) 562-3064.
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 of Waiver (number 11D2213301) is associated with this NPI, valid through February 10, 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 January 20, 2021. 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.
# East Georgia Healthcare Center Inc · NPI 1528658911
Federally Qualified Health Center (FQHC) organization in Stillmore, Georgia. Organization record, active in the CMS NPPES registry since January 20, 2021.
## Identity
- **NPI:** 1528658911 (Entity type: Organization)
- **Enumerated:** January 20, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Jill Sorrells, CFO
## Practice location
- **Address:** 1 PLANT AVE, Stillmore, GA 30464
- **Phone:** (912) 562-3064
## Record status
- **NPPES last updated:** January 20, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528658911) · Data from the CMS NPPES public registry.