Healthcare Provider Details

I. General information

NPI: 1851362263
Provider Name (Legal Business Name): BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 OLD HIGHWAY 5
BLUE RIDGE GA
30513-6248
US

IV. Provider business mailing address

PO BOX 198161
ATLANTA GA
30384-8161
US

V. Phone/Fax

Practice location:
  • Phone: 706-632-3711
  • Fax: 706-632-7216
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number055-452
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: MELISSA N EATON
Title or Position: QUALITY HIM DIRECTOR
Credential: RHIA
Phone: 706-632-4270