GEORGIA HIGHLANDS MEDICAL SERVICES, INC.
NPI 1174529192
Clinic/Center - Federally Qualified Health Center (FQHC) in Cumming, GA
NPI Status: Active since June 23, 2005
Contact Information
260 ELM ST
CUMMING, GA
ZIP 30040
Phone: (770) 887-1668
Fax: (770) 781-9937
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 11D0256436
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 08-31-2026
About GEORGIA HIGHLANDS MEDICAL SERVICES, INC.
This page provides the complete NPI Profile along with additional information for Georgia Highlands Medical Services, Inc., a primary care provider established in Cumming, Georgia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1174529192 assigned on June 2005. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Todd Shifflet (Ceo)
- NPI
- 1174529192
- Provider Name
- GEORGIA HIGHLANDS MEDICAL SERVICES, INC.
- Entity Type
- Organization
- Location Address
- 260 ELM ST CUMMING, GA 30040
- Location Phone
- (770) 887-1668
- Location Fax
- (770) 781-9937
- Mailing Address
- PO BOX 307 CUMMING, GA 30028
- Mailing Phone
- (770) 887-1668
- Mailing Fax
- (770) 781-9937
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2005
- Last Update Date
- 07-21-2022
- Code Navigator
A primary care provider (PCP) like Georgia Highlands Medical Services, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License State
- GA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000192574C | MEDICAID (05) | GA | |
| 300022400A | MEDICAID (05) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0256436
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DR. SWAPNA MADHAVAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Georgia Highlands Medical Services, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for GEORGIA HIGHLANDS MEDICAL SERVICES, INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 5 | 2 | 9 | 1 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 2 | 18 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 2 + 1 + 8 + 1 + 1 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1174529192 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457359168 | MRS. KAREN H PIRKLE RN Individual | Registered Nurse (Community Health) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1093713786 | MRS. DEBRA L IRVINE RN Individual | Registered Nurse (Community Health) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1144228842 | MRS. CAROL P LYERLY FNP-C Individual | Nurse Practitioner (Family) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1316945025 | MRS. CATHIE DEROSA RN Individual | Registered Nurse (Community Health) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1154329803 | MR. GERALD A ERICKSON JR. PA-C Individual | Physician Assistant (Medical) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1225209505 | JOHN KENNEDY ISKANDER M.D. Individual | Pediatrics | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1982924262 | JOHN H PARKER V MSW Individual | Counselor (Mental Health) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1467435644 | LABORATORY CORPORATION OF AMERICA HOLDINGS Organization | Clinical Medical Laboratory | 260 ELM ST CUMMING, GA 30040 (770) 939-4811 |
| 1144661455 | MRS. DANIELLE LANE DOEDENS MSN, FNP Individual | Nurse Practitioner (Family) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1356481873 | CYNTHIA JEAN RINEHART ANP-C Individual | Nurse Practitioner (Adult Health) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1245329937 | MRS. CAROLE HAMILTON PAYNE NP Individual | Nurse Practitioner (Women's Health) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1417916859 | EDWARD JOEL SHANIK M.D. Individual | Family Medicine | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1255323655 | RAYMOND E. EASLEY D.O. Individual | Family Medicine | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1710073507 | RUSSELL G REMALIA DO Individual | Family Medicine (Geriatric Medicine) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1235677469 | GEORGIA HIGHLANDS MEDICAL SERVICES INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 260 ELM ST CUMMING, GA 30040 (770) 887-1670 |
| 1922552124 | NAZIA MOIZ YOUNUS M.D. Individual | Family Medicine | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1760076046 | MILLIE BRABHAM Individual | Nurse Practitioner (Family) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1053077974 | TOAN TRAN PHARMD Individual | Pharmacist | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1902559651 | JESSIE FRIEDMAN Individual | Nurse Practitioner | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
| 1881022309 | MRS. ASHLEY KATHLEEN FORD FNP-C Individual | Nurse Practitioner (Family) | 260 ELM ST CUMMING, GA 30040 (770) 887-1668 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174529192, enumerated in the NPI registry as an "organization" on June 23, 2005
The provider is located at 260 Elm St Cumming, Ga 30040 and the phone number is (770) 887-1668
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D0256436 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on June 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.