Organization · Type 2 NPI

Sumter Regional Hospital

Rural Health Clinic/Center · Ellaville, GA

NPI number 1477647824 Active

Practice location

72 S Broad St
Ellaville, GA 31806

Call (229) 937-5321 Map

Fax (229) 937-2232

Mailing address

PO Box 65
Americus, GA 31719

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Samantha Helton Montgomery, FNPFamily Nurse Practitioner Ellaville, GA NPI 1841436318

Other rural health clinic/center providers in Ellaville

See all in Ellaville →

NPI record

NPI: 1477647824
Entity type: Organization (Type 2)
Issued: Oct 2, 2006
Last updated: Feb 26, 2008
Status: Active
Subpart: Yes of Sumter Regional Hospital

Other names

<unavail>
Ellaville Primary Medicine Center · doing business as

Authorized official

Troy David Hammett
VP Finance CFO
(229) 931-1280

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1477647824

Sumter Regional Hospital's National Provider Identifier is 1477647824, issued on Oct 2, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Ellaville, GA. The record was last updated on Feb 26, 2008.