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EAST GEORGIA HEALTHCARE CENTER, INC.
NPI 1790924918
Clinic/Center - Federally Qualified Health Center (FQHC) in Vidalia, GA

Active since February 11, 2009CLIA 11D1100386 · Microscopy
118 ALICE COLEMAN DR, VIDALIA, GA 30474(912) 537-6565(912) 537-6161 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 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 1790924918) is a healthcare organization registered as a federally qualified health center (fqhc) in Vidalia, Georgia and active in the NPI registry since February 2009. The organization holds a CLIA Microscopy certificate valid through June 3, 2027 and lists Jill R Sorrells, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790924918
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST GEORGIA HEALTHCARE CENTER, INC.
Location Address118 ALICE COLEMAN DRVidalia, GA 30474-8860
Mailing Address215 N Coleman StSwainsboro, GA 30401-3530 · (478) 237-6262 · Fax (478) 237-9138
Phone(912) 537-6565
Fax(912) 537-6161
Organization SubpartNo
Authorized OfficialJill R SorrellsCfo · (478) 237-6262
Enumeration DateFebruary 11, 2009
Last NPPES UpdateAugust 26, 2015
✔ NPI 1790924918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
118 ALICE COLEMAN DR, Vidalia, GA 30474
Open in Google Maps ↗

Other Identifiers 2

Medicaid000632376LGA
Medicare OSCAR/certification111921

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 ›

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) 11D1100386

East Georgia Healthcare Center Inc · Vidalia, GA
Active · expires Jun 3, 2027
CLIA Number11D1100386
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorMr. Martin Sheldon
Laboratory Phone(912) 537-6565
Laboratory LocationEast Georgia Healthcare Center Inc118 Alice Coleman Drive, Vidalia, GA 30474
CLIA data matches this NPI record on: Address Name Phone
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 5

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

DR. ADAM JOSEPH COBB DMD
Dentist
118 ALICE COLEMAN DR
VIDALIA, GA 30474
Toombs County (478) 237-2638
MRS. ALICIA MONAE BAKER-WARING FNP
Nurse Practitioner (Family)
118 ALICE COLEMAN DR
VIDALIA, GA 30474
Toombs County (912) 537-6565
MYMIE T CLINTON NP
Nurse Practitioner
118 ALICE COLEMAN DR
VIDALIA, GA 30474
Toombs County (912) 537-6565
LORENE DAVIS FNP-BC
Nurse Practitioner (Family)
118 ALICE COLEMAN DR
VIDALIA, GA 30474
Toombs County (912) 537-6565
DR. ASHLEY MAKALA DMD
Dentist
118 ALICE COLEMAN DR
VIDALIA, GA 30474
Toombs County (912) 537-6565

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 1790924918. It was assigned to this organization in the NPPES registry on February 11, 2009.

Where is East Georgia Healthcare Center, Inc. located?

East Georgia Healthcare Center, Inc. is located at 118 Alice Coleman Dr, Vidalia, GA 30474. The listed phone number is (912) 537-6565.

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 11D1100386) is associated with this NPI, valid through June 3, 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 Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer 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 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.