No
| CH049010 | Active | BPS-H80-008789 | EAST GEORGIA HEALTHCARE CENTER, INC. | East Georgia Healthcare Center, Inc. | 215 North Coleman Street | | Swainsboro | GA |
| CH04901A | Active | BPS-H80-000469 | EAST GEORGIA HEALTHCARE CENTER, INC. | EAST GEORGIA HEALTHCARE CENTER, INC | 117 Memorial Drive | | Reidsville | GA |
| CH04901B | Active | BPS-H80-034725 | East Georgia Healthcare Center, Inc. | East Georgia Healthcare Center, Inc. | 4357 East Louisiana Avenue | | Soperton | GA |
| CH04901H | Active | BPS-H80-007833 | EAST GEORGIA HEALTHCARE CENTER, INC. | | 118 EAST BROAD STREET | | MT VERNON | GA |
| CH04901I | Terminated | BPS-H80-000068 | EAST GEORGIA HEALTHCARE CENTER, INC. | East Georgia Healthcare Pediatrics Office | 125 B Victory Dr | | Swainsboro | GA |
| CH04901J | Active | BPS-H80-019080 | EAST GEORGIA HEALTHCARE CENTER, INC. | East Georgia Healthcare Center | 34 NW Broad Street | | Metter | GA |
| CH04901K | Active | BPS-H80-007925 | EAST GEORGIA HEALTHCARE CENTER, INC. | | 118 ALICE COLEMAN DRIVE | | VIDALIA | GA |
| CH04901L | Active | BPS-H80-008996 | EAST GEORGIA HEALTHCARE CENTER, INC. | Statesboro Pediatrics | 1570 Brampton Ave | | Statesboro | GA |
| CH04901M | Terminated | BPS-H80-008988 | EAST GEORGIA HEALTHCARE CENTER, INC. | Statesboro Pediatrics | 1570 Brampton Ave | | Statesboro | GA |
| CH04901N | Active | BPS-H80-017144 | EAST GEORGIA HEALTHCARE CENTER, INC. | East Georgia HealthCare Center, Inc. | 1636 Hatch Parkway South | | Baxley | GA |
| CH04901P | Active | BPS-H80-019500 | EAST GEORGIA HEALTHCARE CENTER, INC. | East Georgia Healthcare Center - Mobile Unit 2 | 1075 E WINTHROPE AVE | | MILLEN | GA |
| CH04901Q | Active | BPS-H80-024668 | East Georgia Healthcare Center, Inc. | East Georgia Healthcare Center, Inc. DBA Evans Health and Wellness Center | 6459 US Highway 301 | | Claxton | GA |
| CH04901R | Active | BPS-H80-033635 | East Georgia Healthcare Center, Inc. | East Georgia Healthcare Center Inc | 330 Mims Road | | Sylvania | GA |
| CH04901S | Active | BPS-H80-034090 | East Georgia Healthcare Center, Inc. | East Georgia Healthcare Center at Crider Foods | 1 Plant Ave | | Stillmore | GA |
| CH04901T | Approved | BPS-H80-037463 | EAST GA HEALTHCARE CENTER | Treutlen County Elementary and Middle/High School | 7892 GA Highway 29 | | Soperton | GA |
| CH04901U | Approved | BPS-H80-037456 | EAST GA HEALTHCARE CENTER | Swainsboro Elementary School | 258 Tiger Trl | | Swainsboro | GA |
| Contacts | Signed By | Insert | New Registration | | Sorrells, Jill
CFO
East Georgia Healthcare Center
4782376262-01214 | 4/14/2025 12:24 PM |
| Details | 340B ID | Update | New Registration | | CH04901U | 4/14/2025 12:24 PM |
| Dates | Participating Approval Date | Update | New Registration | | 4/14/2025 12:24:36 PM | 4/14/2025 12:24 PM |
| Details | State | Update | New Registration | Pending | Approved | 4/14/2025 12:24 PM |
| Dates | Signed By Date | Update | New Registration | | 4/9/2025 4:23:42 PM | 4/14/2025 12:24 PM |
| Dates | Start Date | Update | New Registration | | 7/1/2025 12:00:00 AM | 4/14/2025 12:24 PM |
| Addresses | Main Address | Insert | New Registration | |
258 Tiger Trl
Swainsboro, GA 30401-4850 | 4/9/2025 3:33 PM |
| Addresses | Billing Address | Insert | New Registration | | East Georgia Healthcare Cenetr
215 North Coleman St
Swainsboro, GA 30401 | 4/9/2025 3:33 PM |
| Contacts | Authorizing Official | Insert | New Registration | | Sorrells, Jill
CFO
East Georgia Healthcare Center
4782376262-01214 | 4/9/2025 3:33 PM |
| Contacts | Primary Contact | Insert | New Registration | | Fleming, Sable
Patient Services Manager
East Georgia Healthcare Center
4782063489 | 4/9/2025 3:33 PM |
| Details | Assistance Received From Date | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Details | Assistance Received To Date | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Details | Last Recertification Date | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Details | Grant Number | Insert | New Registration | | H80CS00512 | 4/9/2025 3:33 PM |
| Details | 340B ID | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Details | Medicare Provider Number | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Details | Entity Name | Insert | New Registration | | EAST GA HEALTHCARE CENTER | 4/9/2025 3:33 PM |
| Details | NOFO Number | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Details | Program Code | Insert | New Registration | | CH | 4/9/2025 3:33 PM |
| Details | Entity Subname | Insert | New Registration | | Swainsboro Elementary School | 4/9/2025 3:33 PM |
| Dates | Participating Approval Date | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Details | State | Insert | New Registration | | Pending | 4/9/2025 3:33 PM |
| Dates | Registration Date | Insert | New Registration | | 4/9/2025 3:33:41 PM | 4/9/2025 3:33 PM |
| Dates | Signed By Date | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Dates | Start Date | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Terminations | Termination Comments | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Terminations | Termination Date | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 4/9/2025 3:33 PM |
| Terminations | Termination Reason | Insert | New Registration | | | 4/9/2025 3:33 PM |