NORTHEAST HEALTH DISTRICT - EPSDT COUNTY (NPI# 1093911265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093911265 |
| Entity Type | Organization |
| Organization Name | NORTHEAST HEALTH DISTRICT - EPSDT COUNTY |
| Other Organization Name | GREENE CO HLTH DEPT DIST 10 |
| Practice Address |
1031 Apalachee Ave Greensboro GA 30642-2710 |
| Mailing Address |
Po Box 867 Greensboro GA 30642-0867 |
| Practice Telephone | 7064537561 |
| Practice Fax Number | 7064539120 |
| Mailing Telephone | 7064537561 |
| Mailing Fax Number | 7064539120 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | DR. CLAUDE A BURNETT III (DISTRICT HEALTH DIRECTOR) |
| Authorized Official Telephone | 7065832870 |
| Authorized Official Credential | M.D., M.P.H. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST HEALTH DISTRICT - EPSDT COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000051983E | 05 |
| Other Name | Type Code |
|---|---|
| GREENE CO HLTH DEPT DIST 10 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972628089 | Northeast Health District - Epsdt County | Clinic/Center | 623 S Elm St, Commerce, GA 30529-3208 | 2007-03-20 |
| 1902002173 | Northeast Health District - Epsdt County | Clinic/Center | 305 Union Point Rd, Lexington, GA 30648-2304 | 2007-06-25 |
| 1871799205 | Northeast Health District - Epsdt County | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 2007-06-22 |
| 1235334293 | Northeast Health District - Epsdt County | Clinic/Center | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2007-06-19 |
| 1417152505 | Northeast Health District - Epsdt County | Clinic/Center | 618 Jones St, Elberton, GA 30635-1985 | 2007-06-19 |
| 1841495082 | Northeast Health District - Epsdt County | Clinic/Center | 345 N Harris St, Athens, GA 30601-2411 | 2007-06-18 |
| 1700081940 | Northeast Health District - Epsdt County | Clinic/Center | 15 Porter Street East, Winder, GA 30680 | 2007-06-18 |
| Street Address |
1031 APALACHEE AVE |
| City | GREENSBORO |
| State | GA |
| Zip Code | 30642-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063559086 | Greene County Health Department | Clinic/Center | 1031 Apalachee Ave, Greensboro, GA 30642-2710 | 2007-01-31 |
| 1124551684 | Greene County Health Department | Clinic/Center | 1031 Apalachee Ave, Greensboro, GA 30642-2710 | 2017-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
| 1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
| 1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
| 1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
| 1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
| 1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
| 1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
| 1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
| 1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
| 1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
| Find all providers in zip 30642 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063559086 | Greene County Health Department | Clinic/Center | 1031 Apalachee Ave, Greensboro, GA 30642-2710 | 2007-01-31 |
| 1487159042 | Martha A Robinson | Clinic/Center | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2018-03-27 |
| 1124551684 | Greene County Health Department | Clinic/Center | 1031 Apalachee Ave, Greensboro, GA 30642-2710 | 2017-04-11 |
| 1689054843 | Andrea Lorine Caldwell | Clinic/Center | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2015-06-03 |
| 1275958589 | Guilford County Department of Public Health | Clinic/Center | 1203 Maple St, Greensboro, NC 27405-6910 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972628089 | Northeast Health District - Epsdt County | Clinic/Center | 623 S Elm St, Commerce, GA 30529-3208 | 2007-03-20 |
| 1942324181 | Board of Health Walton County | Clinic/Center | 4385 Pecan St, Loganville, GA 30052-2637 | 2007-03-16 |
| 1831223015 | Clarke County Department of Health | Clinic/Center | 410 Mckinley Dr, Athens, GA 30601-3270 | 2007-03-16 |
| 1396879821 | Clarke County Department of Health | Clinic/Center | 168 Rocksprings Ct, Athens, GA 30606-6372 | 2007-03-15 |
| 1174668255 | Northeast Health District | Clinic/Center | 740 Prince Ave Bldg 15, Athens, GA 30606 | 2007-02-20 |
| 1679614515 | Georgia Department of Human Resources | Clinic/Center | 1309 Redmond Rd Nw, Rome, GA 30165-1307 | 2007-02-12 |
| 1851432173 | Floyd County Health Department | Clinic/Center | 16 East 12th Street, Suite 202, Rome, GA 30161-4720 | 2007-02-09 |
| 1174660187 | Madison County Health Department | Clinic/Center | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2007-01-31 |
| 1649317686 | Jackson County Health Department | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 2007-01-31 |
| 1134266778 | Oglethorpe County Health Department | Clinic/Center | 305 Union Point Rd, Lexington, GA 30648-2304 | 2007-01-31 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 30642 |
Please comment or provide details below to improve the information on NORTHEAST HEALTH DISTRICT - EPSDT COUNTY.
| 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.