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EAST GEORGIA HEALTHCARE CENTER INC
NPI 1700820917
Clinic/Center - Federally Qualified Health Center (FQHC) in Soperton, GA

Active since June 16, 2006
4357 E LOUISIANA AVE, SOPERTON, GA 30457(478) 488-4234(478) 237-9138 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2023, Dec 27, 2021 (2 updates tracked since 2021).

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 1700820917) is a healthcare organization registered as a federally qualified health center (fqhc) in Soperton, Georgia and active in the NPI registry since June 2006. The organization lists Jill R Sorrells, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700820917
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST GEORGIA HEALTHCARE CENTER INC
Location Address4357 E LOUISIANA AVESoperton, GA 30457-3661
Mailing Address215 N Coleman StSwainsboro, GA 30401-3530 · (478) 237-2638 · Fax (478) 237-9138
Phone(478) 488-4234
Fax(478) 237-9138
Organization SubpartNo
Authorized OfficialJill R SorrellsCfo · (478) 419-1641
Enumeration DateJune 16, 2006
Last NPPES UpdateMay 1, 20232 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1700820917 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
4357 E LOUISIANA AVE, Soperton, GA 30457
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Other Identifiers 1

Medicaid000632376GGA

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 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

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to East Georgia Healthcare Center Inc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner27
Chiropractic3
Clinical Social Worker3
Family Practice3
Internal Medicine2
Mental Health Counselor2
Optometry2
Emergency Medicine1
3 other specialties3

Nearest to this location (20)

See all 46
Laurie Hutchins, APRN
Nurse Practitioner
NPI 1780179390
118 E BROAD ST
Mount Vernon, GA 30445
(912) 583-2277
✔ PECOS14 mi
Tonia Salazar
Nurse Practitioner
NPI 1184341638
1181 CV MOSLEY BLVD
Vidalia, GA 30474
(912) 245-4335
✔ PECOS17 mi
Alicia Baker-Waring, FNP
Nurse Practitioner
NPI 1215767868
118 ALICE COLEMAN DR
Vidalia, GA 30474
(912) 537-6565
✔ PECOS✔ Accepts Medicare18 mi
Lorene Davis, FNP-BC
Nurse Practitioner
NPI 1922468263
118 ALICE COLEMAN DR
Vidalia, GA 30474
(912) 537-6565
✔ PECOS18 mi
Gerald Holsonback, DC
Chiropractic
NPI 1134132574
206 N GREEN ST
Swainsboro, GA 30401
(478) 237-7948
✔ Accepts Medicare21 mi
Sarah Cravey Kraus, LPC
Mental Health Counselor
NPI 1275421877
1584 COW FORD BRIDGE RD
Kite, GA 31049
(706) 255-8695
✔ PECOS21 mi
Joseph Clifton, L.C.S.W.
Clinical Social Worker
NPI 1922143536
316 N MAIN ST
Swainsboro, GA 30401
(478) 237-2638
✔ PECOS✔ Accepts Medicare21 mi
Martin Sheldon, MD
Internal Medicine
NPI 1104895374
215 N COLEMAN ST
Swainsboro, GA 30401
(478) 237-2638
✔ PECOS✔ Accepts Medicare21 mi
Kyle Cannady
Nurse Practitioner
NPI 1457733826
215 N COLEMAN ST
Swainsboro, GA 30401
(478) 237-2638
✔ PECOS21 mi
Jamye Clark, FNP-C
Nurse Practitioner
NPI 1073291613
215 N COLEMAN ST
Swainsboro, GA 30401
(478) 237-2638
✔ PECOS21 mi
Esmeralda Espitia
Nurse Practitioner
NPI 1730987108
215 N COLEMAN ST
Swainsboro, GA 30401
(478) 237-2638
✔ PECOS21 mi
Haley Fitzpatrick, FNP-C
Nurse Practitioner
NPI 1174468433
215 N COLEMAN ST
Swainsboro, GA 30401
(478) 237-2638
✔ PECOS✔ Accepts Medicare21 mi
Chelsea Hayman, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1013548494
215 N COLEMAN ST
Swainsboro, GA 30401
(478) 237-2638
✔ PECOS21 mi
Phyllis Dixon, FNP-C
Nurse Practitioner
NPI 1659865087
34 NW BROAD ST
Metter, GA 30439
(912) 685-4040
✔ PECOS31 mi
Sreevalli Dega, MD
Family Practice
NPI 1023247731
1570 BRAMPTON AVE
Statesboro, GA 30458
(912) 764-9196
✔ PECOS✔ Accepts Medicare48 mi
James Small, MD
Obstetrics/Gynecology
NPI 1962690099
1501 BRAMPTON AVE
Statesboro, GA 30458
(912) 871-6206
✔ PECOS✔ Accepts Medicare48 mi
Patrick Riner, O.D.
Optometry
NPI 1811090921
751 W OGLETHORPE HWY
Hinesville, GA 31313
(912) 530-8528
✔ PECOS✔ Accepts Medicare70 mi
Shameeka Wiggins, LMFT
Marriage and Family Therapist
NPI 1053136671
120 WAVERLY WAY
Savannah, GA 31407
(912) 403-2884
✔ PECOS80 mi
Beverly Knighten, LCSW
Clinical Social Worker
NPI 1205940509
1 FREEDOM WAY
Augusta, GA 30904
(706) 733-0188
✔ PECOS✔ Accepts Medicare82 mi
Mary Sparkes, MD
Emergency Medicine
NPI 1891737441
5 EXECUTIVE CIR
Savannah, GA 31406
(912) 355-2400
✔ PECOS✔ Accepts Medicare90 mi
See all 46 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1700820917. It was assigned to this organization in the NPPES registry on June 16, 2006.

Where is East Georgia Healthcare Center Inc located?

East Georgia Healthcare Center Inc is located at 4357 E Louisiana Ave, Soperton, GA 30457. The listed phone number is (478) 488-4234.

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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does East Georgia Healthcare Center Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.