ELLIJAY URGENT CARE & FAMILY PRACTICE
NPI 1700237633
Clinic/Center - Rural Health in East Ellijay, GA
About Ellijay Urgent Care & Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIJAY URGENT CARE & FAMILY PRACTICE (NPI 1700237633) is a healthcare organization registered as a rural health in East Ellijay, Georgia and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Ellijay Urgent Care Family Practice., Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellijay Urgent Care & Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ellijay Urgent Care & Family Practice, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: 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 of Waiver 11D2115096
Ellijay Urgent Care & Family Practice LLC · Ellijay, 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 Ellijay Urgent Care & Family Practice LLC's NPI number?
The NPI number for Ellijay Urgent Care & Family Practice LLC is 1700237633. It was assigned to this organization in the NPPES registry on June 22, 2016. The provider is doing business as Ellijay Urgent Care & Family Practice.
Where is Ellijay Urgent Care & Family Practice LLC located?
Ellijay Urgent Care & Family Practice LLC is located at 97 Hefner St Ste 202, East Ellijay, GA 30540. The listed phone number is (706) 635-5177.
What is Ellijay Urgent Care & Family Practice LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Ellijay Urgent Care & Family Practice LLC enrolled in Medicare?
Yes. Ellijay Urgent Care & Family Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ellijay Urgent Care & Family Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ellijay Urgent Care & Family Practice LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ellijay Urgent Care & Family Practice LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2115096) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ellijay Urgent Care & Family Practice LLC accept?
Health plans from Alliant Health Plans, Inc. list Ellijay Urgent Care & Family Practice LLC 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 Ellijay Urgent Care & Family Practice LLC was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ellijay Urgent Care & Family Practice · NPI 1700237633
Rural Health organization in East Ellijay, Georgia. Organization record, active in the CMS NPPES registry since June 22, 2016.
## Identity
- **NPI:** 1700237633 (Entity type: Organization)
- **Enumerated:** June 22, 2016
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Ellijay Urgent Care & Family Practice Llc
- **Organization subpart:** No
- **Authorized official:** Ellijay Urgent Care Practice., OWNER
## Practice location
- **Address:** 97 HEFNER ST STE 202, East Ellijay, GA 30540-8268
- **Phone:** (706) 635-5177 · **Fax:** (706) 635-2274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700237633) · Data from the CMS NPPES public registry.