DEKALB COUNTY BOARD OF HEALTH (NPI# 1053417105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053417105 |
| Entity Type | Organization |
| Organization Name | DEKALB COUNTY BOARD OF HEALTH |
| Other Organization Name | NORTH HEALTH CENTER |
| Practice Address |
3807 Clairmont Rd Chamblee GA 30341-4911 |
| Mailing Address |
445 Winn Way Po Box 987 Decatur GA 30030-1707 |
| Practice Telephone | 7704541144 |
| Practice Fax Number | 7704524468 |
| Mailing Telephone | 4042943701 |
| Mailing Fax Number | 4045087862 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | SANDRA E FORD (DISTRICT DIRECTOR/CEO) |
| Authorized Official Telephone | 4042943787 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | DEKALB COUNTY BOARD OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
GA | Ambulatory Health Care Facilities | |
| N | 251X00000X | Supports Brokerage | GA | Agencies | |
| N | 251K00000X | Public Health or Welfare | GA | Agencies | |
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
GA | Ambulatory Health Care Facilities | |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
Nursing Service Providers | ||
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| North Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| 1750488052 | Dekalb County Board of Health | Public Health or Welfare | 2612 Max Cleland Blvd Ste A, Lithonia, GA 30058-4400 | 2006-09-20 |
| 1750481982 | Dekalb County Board of Health | Public Health or Welfare | 440 Winn Way, Decatur, GA 30030-1715 | 2006-09-25 |
| 1548366685 | Dekalb County Board of Health | Supports Brokerage | 30 Warren St Se, Atlanta, GA 30317-2267 | 2006-09-16 |
| 1427154483 | Dekalb County Board of Health | Public Health or Welfare | 2801 Candler Rd, Suite 67, Decatur, GA 30034-1423 | 2006-09-16 |
| 1003912155 | Dekalb County Board of Health | Supports Brokerage | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-09-16 |
| 1356447411 | Dekalb County Board of Health | Supports Brokerage | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2006-09-16 |
| 1992801021 | Dekalb County Board of Health | Public Health or Welfare | 445 Winn Way, Ste 150, Decatur, GA 30030-1707 | 2006-09-16 |
| Street Address |
3807 CLAIRMONT RD |
| City | CHAMBLEE |
| State | GA |
| Zip Code | 30341-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260144 | Dekalb Community Service Board | Pharmacist | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2005-07-26 |
| 1477985638 | Karen Grannis | Counselor | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2013-07-30 |
| 1548603848 | Crystal M Smith | Counselor | 3807 Clairmont Rd, Chamblee, GA 30341 | 2013-04-17 |
| 1386980266 | Andrea K Boc | Social Worker | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2012-12-20 |
| 1518203546 | Rita Diane Mathis | Social Worker | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2012-12-19 |
| 1366793945 | Mavis K Mensah | Registered Nurse | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2012-09-24 |
| 1689925414 | Carlean M Jones | Registered Nurse | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2012-09-19 |
| 1629329453 | Phyllisa Dawn Blake | Registered Nurse | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2012-09-19 |
| 1871886804 | Shannon M Blankenship | Lactation Consultant, Non-RN | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2011-05-24 |
| 1407086879 | Adebayo Kolawole Akinsola | Pediatrics | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2009-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
| 1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
| 1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
| 1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
| 1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
| 1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
| 1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
| 1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
| Find all providers in zip 30341 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518251818 | Georgia Lions Lighthouse Foundation | Public Health or Welfare | 5582 Peachtree Rd, Chamblee, GA 30341-2383 | 2011-06-03 |
| 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 | ||||
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| 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.