OrganizationActive
Southern Health Corp of Ellijay
NPI 1013248962 · Rural Health Clinic/Center · Ellijay, GA
Provider details
- NPI number
- 1013248962
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debbie Self, Cfo(706) 276-4741
- License
- 061435 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
60 Old Highway 5 South
Ellijay, GA 30540-5436
Phone: (706) 276-4741
Fax: (706) 276-4645
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1019
Ellijay, GA 30540-0013
Other names (DBA / former)
- Doing business as
- North Georgia Family Practice
Registry dates
- Enumerated
- 2010-01-15
- Last updated
- 2015-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.