GLYNN COUNTY HEATLH DEPARTMENT (NPI# 1255339529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255339529 |
Entity Type | Organization |
Organization Name | GLYNN COUNTY HEATLH DEPARTMENT |
Other Organization Name | COASTAL HEALTH DISTRICT |
Practice Address |
150 Scranton Connector Brunswick GA 31525-0540 |
Practice Telephone | 9122623045 |
Practice Fax Number | 9122623051 |
Mailing Telephone | 9122622300 |
Mailing Fax Number | 9122622315 |
Enumeration Date | 2005-07-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. BRENT JORDAN (DISTRICT ADMINISTRATOR) |
Authorized Official Telephone | 9122623045 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | Agencies |
Other Name | Type Code |
---|---|
Coastal Health District | Doing Business As Name - Organization |
Street Address |
150 SCRANTON CONNECTOR |
City | BRUNSWICK |
State | GA |
Zip Code | 31525-0540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053629 | Kimberly Tillman Faulk | Registered Nurse | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2020-11-04 |
1275095069 | Lisa Lee Palmer | Registered Nurse | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2019-04-02 |
1386125102 | Ashley Blizzard | Registered Nurse | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2018-08-29 |
1780127936 | Elizabeth Hallmark | Registered Nurse | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2016-11-21 |
1619336781 | Rachael Ashley Holmes | Registered Nurse | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2016-02-18 |
1427423805 | Coastal Health District 9-1 | Public Health or Welfare | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2015-12-10 |
1720474430 | Victoria Stewart | Registered Nurse | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2015-04-09 |
1790175099 | Janice H. Maxwell | Registered Nurse | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2015-01-26 |
1376949354 | Mary Susan Madramootoo | Registered Nurse | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2014-11-18 |
1073917662 | Jennifer Riemann | Registered Nurse | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2014-10-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
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Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164429692 | Glynn County Board of Health | Public Health or Welfare | 2747 4th St, Brunswick, GA 31520-3714 | 2005-06-30 |
1427423805 | Coastal Health District 9-1 | Public Health or Welfare | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2015-12-10 |
1730187188 | Glynn County Board of Health | Public Health or Welfare | 2747 4th St, Brunswick, GA 31520-3714 | 2005-07-11 |
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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.