NPI age
17 years
Enumerated 2009-02-11
● Active Type 2 · Organization
East Georgia Healthcare Center, Inc.
East Georgia Healthcare Center, Inc. is 1 of 462 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
Sorrells
Cfo
Last NPPES update
2015-08-26
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
17 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-02Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
118 Alice Coleman Dr
Vidalia, GA 304748860
Mailing address
215 N Coleman St
Swainsboro, GA 304013530
Authorized official
Jill R Sorrells
Cfo
📞 4782376262
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Alicia Baker-Waring, FNP Nurse Practitioner NPI 1215767868
- Mymie Clinton, NP Nurse Practitioner NPI 1881625598
- Lorene Davis, FNP-BC Nurse Practitioner NPI 1922468263
- Ashley Makala, DMD Dentist NPI 1972293777
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000632376L |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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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.