GORDON COUNTY BOARD OF HEALTH (NPI# 1417042391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417042391 |
| Entity Type | Organization |
| Organization Name | GORDON COUNTY BOARD OF HEALTH |
| Practice Address |
310 N River St Nw Calhoun GA 30701-9408 |
| Practice Telephone | 7066241444 |
| Practice Fax Number | 7066241450 |
| Mailing Telephone | 7066241444 |
| Mailing Fax Number | 7066241450 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | DR. C WADE SELLERS (CEO) |
| Authorized Official Telephone | 7066241444 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 025271 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AMERIGROUP, CMO | 10076442 | 01 |
| GA | PEACH STATE, CMO | 140294 | 01 |
| GA | WELLCARE, CMO | 340939 | 01 |
| Street Address |
310 N RIVER ST NW |
| City | CALHOUN |
| State | GA |
| Zip Code | 30701-9408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073015384 | Sharon Michelle Holbrook | Nurse Practitioner | 310 N River St Nw, Calhoun, GA 30701-9408 | 2018-03-02 |
| 1528508710 | Gordon County Health Department | Clinic/Center | 310 N River St Nw, Calhoun, GA 30701-9408 | 2017-03-07 |
| 1932387024 | Carolyn Reeves-wills | Nurse Practitioner | 310 N River St Nw, Calhoun, GA 30701-9408 | 2008-01-31 |
| 1861670952 | Mary Jane Crowder | Nurse Practitioner | 310 N River St Nw, Calhoun, GA 30701-9408 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1639714140 | Alexis Mann | Counselor | 629 Harkins Street, Calhoun, GA 30701 | 2019-11-08 |
| 1649812322 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Lovers Lane, Calhoun, GA 30701 | 2019-10-14 |
| 1225679186 | Alexandra Halleck | Physical Therapy Assistant | 1387 Hwy 41 N, Calhoun, GA 30701 | 2019-10-02 |
| 1508325432 | Angela Munyan Chin | Nurse Practitioner | 1754 Everett Springs Rd Ne, Calhoun, GA 30701 | 2019-03-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 1568990018 | Katherine Ann Hayes | Physical Therapy Assistant | Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 | 2017-05-30 |
| 1639566508 | Moslem Eskandari | Pharmacist | 1101 Red Bud Rd, Calhoun, GA 30701 | 2015-04-18 |
| 1366882367 | Stella P. Bonner | Dentist | 500 South Wall St., Calhoun, GA 30701 | 2013-07-05 |
| 1417393885 | New Serenity Inc | Clinic/Center | 1321 Hwy 41 N, Calhoun, GA 30701 | 2013-05-13 |
| Find all providers in zip 30701 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396938809 | Green River District Health Department | Public Health or Welfare | 755 Main St, Calhoun, KY 42327-2130 | 2007-08-20 |
| 1942273206 | Green River District Health Department | Public Health or Welfare | 200 Highway 81 N, Suite 101, Calhoun, KY 42327-2102 | 2006-02-08 |
| 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.