CAMDEN COUNTY BOARD OF HEALTH (NPI# 1013908755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013908755 |
| Entity Type | Organization |
| Organization Name | CAMDEN COUNTY BOARD OF HEALTH |
| Other Organization Name | CAMDEN COUNTY HEALTH DEPARTMENT |
| Practice Address |
1501 Georgia Ave Woodbine GA 31569-5504 |
| Mailing Address |
150 Scranton Connector Brunswick GA 31525-0540 |
| Practice Telephone | 9125763040 |
| Practice Fax Number | 9127293111 |
| Mailing Telephone | 9122622347 |
| Mailing Fax Number | 9122623036 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | STACY A COOPER (DISTRICT BILLING DEPT. COORDINATOR) |
| Authorized Official Telephone | 9122622347 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAMDEN COUNTY BOARD OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 336058 | 05 | |
| GA | 000051818M | 05 | |
| GA | MEDICARE ID | 202G608596 | 01 |
| GA | 000453219N | 05 | |
| GA | 000456508D | 05 | |
| GA | 000457938I | 05 | |
| GA | 10057388 | 05 |
| Other Name | Type Code |
|---|---|
| Camden County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083605737 | Camden County Board of Health | Public Health or Welfare | 905 Dilworth St, Saint Marys, GA 31558-8695 | 2005-11-02 |
| Street Address |
1501 GEORGIA AVE |
| City | WOODBINE |
| State | GA |
| Zip Code | 31569-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336509538 | Marlene Ann Enos | Registered Nurse | 1501 Georgia Ave, Woodbine, GA 31569-5504 | 2016-03-01 |
| 1740525013 | Melissa R Perkins | Registered Nurse | 1501 Georgia Ave, Woodbine, GA 31569-5504 | 2012-11-28 |
| 1821344763 | Rebecca Heatherly | Licensed Practical Nurse | 1501 Georgia Ave, Woodbine, GA 31569-5504 | 2012-07-30 |
| 1679829519 | Mallory Chappell | Registered Nurse | 1501 Georgia Ave, Woodbine, GA 31569-5504 | 2012-07-30 |
| 1811225550 | Lori Bishop | Registered Nurse | 1501 Georgia Ave, Woodbine, GA 31569-5504 | 2009-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326281783 | Phyllis Dunham | Counselor | 349 Colesburg-tompkin Rd., Woodbine, GA 31569 | 2009-04-15 |
| 1063545762 | Gateway Behavioral Health Services | Psychologist | 210 East 15th Street, Woodbine, GA 31569 | 2007-03-13 |
| 1417099755 | Coastal Speech Therapy | Speech-Language Pathologist | 24 Serenity Farms Rd, Coastal Speech Therapy, Woodbine, GA 31569 | 2007-02-13 |
| 1790755585 | Kim Timmerman Baird | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-0307 | 2006-01-24 |
| 1750508602 | Kim T. Baird, Fnp-cs | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-0308 | 2007-04-20 |
| 1538386370 | Mary Lee Carter, Md-pc | Internal Medicine | 308 Bedell Ave, Woodbine, GA 31569-0308 | 2007-04-20 |
| 1720180573 | Robert Thomas Baird | Dentist | 308 Bedell Ave, Woodbine, GA 31569-0488 | 2006-09-02 |
| 1851710685 | Amanda Mcnulty | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-2091 | 2014-04-09 |
| 1326484411 | Debra M. Tait | Counselor | 801 Thrift Rd, Woodbine, GA 31569-2436 | 2013-05-15 |
| 1043826241 | Jimmequia Lanice Allen | Registered Nurse | 117 James St, Woodbine, GA 31569-3568 | 2020-09-22 |
| Find all providers in zip 31569 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136990 | Middle Flint Area Community Service Board | Public Health or Welfare | 106 W Furlow St, Americus, GA 31709-4110 | 2020-05-27 |
| 1023645728 | Emanuel County Board of Health | Public Health or Welfare | 50 Ga Highway 56 N, Swainsboro, GA 30401-4441 | 2020-03-24 |
| 1508498544 | Benard & Romulus LLC | Public Health or Welfare | 917 Revere Way, Hampton, GA 30228-5969 | 2020-02-07 |
| 1770142309 | Region 14 Department of Family and Children Services | Public Health or Welfare | 178 Sams St, Decatur, GA 30030-4134 | 2019-06-07 |
| 1700442753 | Region Xi Field Fiscal Office | Public Health or Welfare | 1400 Peterson Ave N Ste D, Douglas, GA 31533-2833 | 2019-05-15 |
| 1841856242 | Dfcs Region Ix | Public Health or Welfare | 904 Claxton Dairy Rd, Dublin, GA 31021-5423 | 2019-05-13 |
| 1740750181 | Cherokee County Health Department | Public Health or Welfare | 7545 Main St Bldg 100, Woodstock, GA 30188-1615 | 2018-11-28 |
| 1396211694 | Everybody Vs Cancer Foundation | Public Health or Welfare | 5040 Snapfinger Woods Dr Ste 201c, Decatur, GA 30035-4020 | 2018-10-15 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1538652425 | Tiffany Baggett | Public Health or Welfare | 1650 Barnes Mill Rd Apt 223, Marietta, GA 30062-7553 | 2018-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAMDEN COUNTY BOARD OF HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.