NPI age
20 years
Enumerated 2006-03-10
● Active Type 2 · Organization
Subpart
Fannin Regional Hospital Inc
Fannin Regional Hospital Inc is 1 of 144 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Holtsford
Senior Vp, Group Operations
Last NPPES update
2008-08-20
Source: monthly bulk 2026-05
How this organization compares
Across 144 active clinic/center providers in Georgia.
NPI age
20 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
772 Maddox Dr, Ste 126
East Ellijay, GA 305408194
Mailing address
Po Box 198161
Atlanta, GA 303848161
Authorized official
Laurie Holtsford
Senior Vp, Group Operations
📞 6154657466
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Bonnie Bradley, OD Optometrist NPI 1366446338
- David Persaud, MD Family Medicine NPI 1609087527
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Tri County Diagnostic Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Fannin Regional Hospital Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.