CLAYTON COUNTY BOARD OF HEALTH (NPI# 1104911924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104911924 |
| Entity Type | Organization |
| Organization Name | CLAYTON COUNTY BOARD OF HEALTH |
| Practice Address |
1117 Battlecreek Rd Jonesboro GA 30236-2407 |
| Practice Telephone | 6786107199 |
| Practice Fax Number | 7706034872 |
| Mailing Telephone | 6786107199 |
| Mailing Fax Number | 7706034872 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JENNIFER BEANE (DISTRICT PH PROGRAM MANAGER) |
| Authorized Official Telephone | 6786107199 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLAYTON COUNTY BOARD OF HEALTH | 1117 Battle Creek Rd, Jonesboro, GA 30236-2407 |
| Street Address |
1117 BATTLECREEK RD |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982129433 | Ebony Monique Dowdy | Case Manager/Care Coordinator | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2017-08-06 |
| 1083005839 | Carol Arnold | Case Manager/Care Coordinator | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2015-02-16 |
| 1295084457 | Tietra G Jones | Registered Nurse | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2012-09-04 |
| 1902168701 | Toni Miles | Registered Nurse | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2012-06-08 |
| 1881955219 | Tania Lynch | Registered Nurse | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2012-06-01 |
| 1558621490 | Chishaunna Calhoun | Registered Nurse | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2012-05-25 |
| 1083974331 | Sandra Pye | Registered Nurse | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2012-05-21 |
| 1558641308 | Leona Marie Walters | Nurse Practitioner | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2011-08-25 |
| 1316225881 | Marlynn B Jones | Nurse Practitioner | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2011-08-01 |
| 1922174754 | Susan Lynn Strom | Dietitian, Registered | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2006-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710385372 | Journey Through Recovery To Wellness, LLC | Public Health or Welfare | 217 Arrowhead Blvd Ste A2, Jonesboro, GA 30236-1169 | 2014-12-15 |
| 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 |
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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.