NPI age
19 years
Enumerated 2006-12-29
● Active Type 2 · Organization
Subpart
Charlton Memorial Hospital
Charlton Memorial Hospital is 1 of 181 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
McCasland
Clinic Director
Last NPPES update
2012-07-26
Source: monthly bulk 2026-05
How this organization compares
Across 181 active clinic/center providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2383 Third St
Folkston, GA 315378917
Mailing address
2383 Third St
Folkston, GA 315378917
Authorized official
Fatima McCasland
Clinic Director
📞 9124962697
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Maged Abdelmalik, M.D. Internal Medicine NPI 1770558470
- Angela Johnson, APRN Nurse Practitioner NPI 1487858650
- Sarah Ridgeway, APRN Nurse Practitioner NPI 1245249176
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 814096430A | |
| 01 (GA) | HOSP45 | MEDICARE PART B PTAN |
| 05 (GA) | 164482236A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Family Practice Clinic
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Charlton Memorial Hospital.
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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.