OrganizationActive
Bacchus Operations Group, Inc.
NPI 1518026202 · Rural Health Clinic/Center · Montezuma, GA
Provider details
- NPI number
- 1518026202
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philip Eastman, Chief Executive Officer(478) 472-3100
- License
- 094-391 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
509 Sumter Street
Montezuma, GA 31063-1733
Phone: (478) 472-3100
Fax: (478) 472-2412
Street-level locationGet directions
Mailing address
509 Sumter Street
Montezuma, GA 31063-1733
Other names (DBA / former)
- Doing business as
- Flint River Rural Health Clinic - Ellaville
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2012-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.