Elbert Memorial Hospital
NPI 1124488291 · Obstetrics & Gynecology Physician · Elberton, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elbert Memorial Hospital is a Obstetrics & Gynecology Physician organization in Elberton, GA (NPI 1124488291).
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Russell Specialty Healthcare Services
Registry dates
- Enumerated
- 2016-03-02
- Last updated
- 2016-03-24
Frequently asked questions
- What is Elbert Memorial Hospital's NPI number?
- Elbert Memorial Hospital's National Provider Identifier (NPI) is 1124488291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elbert Memorial Hospital?
- Elbert Memorial Hospital is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Elbert Memorial Hospital located?
- Elbert Memorial Hospital's practice location on file with NPPES is 46 Laurel Dr, Elberton, GA 30635-1842.
- What is Elbert Memorial Hospital's phone number?
- The practice phone number listed in the NPPES registry for Elbert Memorial Hospital is (706) 213-2579.
- Does Elbert Memorial Hospital accept Medicare?
- Elbert Memorial Hospital is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elbert Memorial Hospital?
- The authorized official listed on Elbert Memorial Hospital's NPPES record is Brandon Clary, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elbert Memorial Hospital's NPI active?
- Yes — Elbert Memorial Hospital's NPI (1124488291) is active in the NPPES registry as of the last update on 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.