NPI age
19 years
Enumerated 2007-01-18
● Active Type 2 · Organization
Professional Resources Management Of Rabun, Llc
Professional Resources Management Of Rabun, Llc is 1 of 84 general acute care hospital organizations in Georgia.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hall
Ceo
Last NPPES update
2023-08-08
Source: monthly bulk 2026-05
How this organization compares
Across 84 active general acute care hospital providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
162 Legacy Pt
Clayton, GA 305255354
Mailing address
162 Legacy Pt
Clayton, GA 305255354
Authorized official
Kristy Hall
Ceo
📞 7067820400
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Rodney Burris, PHARMD Pharmacist NPI 1861980369
- Lisa Ferraro, PHARM.D. Pharmacist NPI 1669986295
- Nathan Gay, ACNPC-AG Nurse Practitioner NPI 1538022603
- Erica McVey, AUD, CCC-A Audiologist NPI 1801603501
Specialties
-
General Acute Care Hospital PrimaryDefinition to come.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10063437 | AMERIGROUP |
| 01 (GA) | 293932 | WELLCARE |
| 05 (GA) | 00001559A | |
| 05 (GA) | 0001559S | |
| 01 (GA) | 51000340 | BLUE CROSS OF GEORGIA |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
MOUNTAIN LAKES MEDICAL CENTER
-
MOUNTAIN LAKES MEDICAL CENTER
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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