P Praxis·MD
● Active Type 2 · Organization

Professional Resources Management Of Rabun, Llc

General Acute Care Hospital·Clayton, GA· NPI 1326191180 · Enumerated 2007 · 19 years on NPI
Professional Resources Management Of Rabun, Llc is 1 of 84 general acute care hospital organizations in Georgia.
NPI age
19 years
Enumerated 2007-01-18
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
📞 7067820401fax 7067820451
Mailing address
162 Legacy Pt
Clayton, GA 305255354
📞 7067823100fax 7067826897

Authorized official

Kristy Hall
Ceo
📞 7067820400

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • General Acute Care Hospital Primary
    Definition to come.
    GA license #119-621 taxonomy 282NC0060X

Identifiers

TypeValueNotes
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
    Type code 3 recorded 2019-10-09
  • MOUNTAIN LAKES MEDICAL CENTER
    Type code 3 recorded 2007-01-18

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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