OrganizationActive
Elbert Memorial Hospital
NPI 1124488291 · Obstetrics & Gynecology Physician · Elberton, GA
Provider details
- NPI number
- 1124488291
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Elbert Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Brandon Clary, Ceo(706) 213-2535
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
46 Laurel Dr
Elberton, GA 30635-1842
Phone: (706) 213-2579
Street-level locationGet directions
Mailing address
4 Medical Dr
Elberton, GA 30635-1830
Other names (DBA / former)
- Doing business as
- Lake Russell Specialty Healthcare Services
Registry dates
- Enumerated
- 2016-03-02
- Last updated
- 2016-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.