NORTHEAST HEALTH DISTRICT - EPSDT COUNTY (NPI# 1235334293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235334293 |
| Entity Type | Organization |
| Organization Name | NORTHEAST HEALTH DISTRICT - EPSDT COUNTY |
| Other Organization Name | MADISON CO HLTH DEPT DIST 10 |
| Practice Address |
1424 Highway 98 W Danielsville GA 30633-5356 |
| Mailing Address |
Po Box 26 Danielsville GA 30633-0026 |
| Practice Telephone | 7067952131 |
| Practice Fax Number | 7067955773 |
| Mailing Telephone | 7067952131 |
| Mailing Fax Number | 7067955773 |
| Enumeration Date | 2007-06-19 |
| 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 | 000051983G | 05 |
| Other Name | Type Code |
|---|---|
| MADISON 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 |
| 1093911265 | Northeast Health District - Epsdt County | Clinic/Center | 1031 Apalachee Ave, Greensboro, GA 30642-2710 | 2007-06-25 |
| 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 |
| 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 |
1424 HIGHWAY 98 W |
| City | DANIELSVILLE |
| State | GA |
| Zip Code | 30633-5356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174660187 | Madison County Health Department | Clinic/Center | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2007-01-31 |
| 1619521614 | Ashleigh Danielle Grizzle | Nurse Practitioner | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2019-07-29 |
| 1114450673 | Madison County Health Department | Clinic/Center | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2017-04-11 |
| 1376087528 | Wanda C Strickland | Nurse Practitioner | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2016-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154653798 | Perimeter Transport Services, Inc. | Non-emergency Medical Transport (VAN) | 613 Garrett Randall Road, Danielsville, GA 30633 | 2010-02-08 |
| 1316154222 | Madison County Board of Commissioners | Ambulance | 91 Albany Avenue, Danielsville, GA 30633 | 2007-05-17 |
| 1659448843 | Madison County Board of Commissioners Hdm | Home Delivered Meals | 1265 98 West, Danielsville, GA 30633 | 2006-11-30 |
| 1174630552 | Adams Primary Care, PC | Family Medicine | 25 Nomora Drive, Danielsville, GA 30633 | 2006-08-23 |
| 1598878050 | Kevin Scott Adams | Family Medicine | 25 Nomora Dr, Danielsville, GA 30633 | 2006-08-17 |
| 1104835164 | Madison Co Commissioner Roads and Revenue | Ambulance | Hwy 98 W, Danielsville, GA 30633 | 2006-08-07 |
| 1295233237 | Stephanie Leonard Higdon | Clinic/Center | 122 Courthouse Square, Danielsville, GA 30633 | 2018-01-24 |
| 1508155011 | Jayne Elizabeth Harmon | Pharmacist | 380 General Daniel Ave N, Danielsville, GU 30633 | 2011-04-05 |
| 1790086601 | Tanya Hancock Adams | Nurse Practitioner | 25 Nomora Drive, Danielsville, GA 30633 | 2010-11-09 |
| 1225049067 | Rite Aid of Georgia Inc | Durable Medical Equipment & Medical Supplies | 380 General Daniel Avenue West, Danielsville, GA 30633-0359 | 2006-08-10 |
| Find all providers in zip 30633 | ||||
| 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 |
|---|---|---|---|---|
| 1174660187 | Madison County Health Department | Clinic/Center | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2007-01-31 |
| 1114450673 | Madison County Health Department | Clinic/Center | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2017-04-11 |
| 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 |
| 1649317686 | Jackson County Health Department | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 2007-01-31 |
| 1063559086 | Greene County Health Department | Clinic/Center | 1031 Apalachee Ave, Greensboro, GA 30642-2710 | 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 | DANIELSVILLE |
| Zip Code | 30633 |
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.