DEKALB COUNTY BOARD OF HEALTH (NPI# 1548366685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548366685 |
| Entity Type | Organization |
| Organization Name | DEKALB COUNTY BOARD OF HEALTH |
| Other Organization Name | KIRKWOOD HEALTH CENTER |
| Practice Address |
30 Warren St Se Atlanta GA 30317-2267 |
| Mailing Address |
445 Winn Way Po Box 987 Decatur GA 30030-1707 |
| Practice Telephone | 4043707360 |
| Practice Fax Number | 4043707379 |
| Mailing Telephone | 4042943701 |
| Mailing Fax Number | 4045087862 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | SANDRA E FORD (DISTRICT DIRECTOR/CEO) |
| Authorized Official Telephone | 4042943787 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | DEKALB COUNTY BOARD OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251X00000X | Supports Brokerage | GA | Agencies | |
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
GA | Ambulatory Health Care Facilities | |
| N | 261QA0006X |
Clinic/Center Specialization: Ambulatory Fertility Facility |
GA | Ambulatory Health Care Facilities | |
| N | 251K00000X | Public Health or Welfare | GA | Agencies | |
| Y | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
GA | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Kirkwood Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| 1750488052 | Dekalb County Board of Health | Public Health or Welfare | 2612 Max Cleland Blvd Ste A, Lithonia, GA 30058-4400 | 2006-09-20 |
| 1750481982 | Dekalb County Board of Health | Public Health or Welfare | 440 Winn Way, Decatur, GA 30030-1715 | 2006-09-25 |
| 1427154483 | Dekalb County Board of Health | Public Health or Welfare | 2801 Candler Rd, Suite 67, Decatur, GA 30034-1423 | 2006-09-16 |
| 1053417105 | Dekalb County Board of Health | Clinic/Center | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2006-09-16 |
| 1003912155 | Dekalb County Board of Health | Supports Brokerage | 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252 | 2006-09-16 |
| 1356447411 | Dekalb County Board of Health | Supports Brokerage | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2006-09-16 |
| 1992801021 | Dekalb County Board of Health | Public Health or Welfare | 445 Winn Way, Ste 150, Decatur, GA 30030-1707 | 2006-09-16 |
| Street Address |
30 WARREN ST SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30317-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629082524 | Mary Virginia Acklin | Nurse Practitioner | 30 Warren St Se, Dekalb Grady Clinic, Atlanta, GA 30317-2267 | 2006-07-28 |
| 1790946325 | Yolanda Washington Tapp | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2008-06-17 |
| 1942417480 | Andre Shinabarger | Physician Assistant | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-05-16 |
| 1730305004 | Meridian Education Resource Group, Inc. | Clinic/Center | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-17 |
| 1437271095 | Carolyn W Brewster | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-04 |
| 1790806016 | Sherri Arnise Okpodu | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-03 |
| 1699809970 | Samuel W. Dooley Jr. | Internal Medicine | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-03-16 |
| 1891829883 | Henry Slater Kahn | Internal Medicine | 30 Warren St Se, Dekalb Grady Neighborhood Health Center, Atlanta, GA 30317-2267 | 2007-03-14 |
| 1508912809 | Weigong Zhou | Family Medicine | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-01-27 |
| 1396809216 | Betty Neal | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2006-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391395 | Tara Lozano Thrutchley | Counselor | 2033 Hosea L Williams Drive Ne, Suite 2, Atlanta, GA 30317 | 2019-11-26 |
| 1689052326 | Pharmworks Group LLC | Pharmacy | 1860 Memorial Dr Se, Atlanta, GA 30317 | 2015-05-14 |
| 1891032157 | Carla Bernita Jones | Licensed Practical Nurse | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| 1548228034 | Yuri Okuizumi Wu | Pediatrics | 35 Whitefoord Ave Se, Atlanta, GA 30317 | 2006-05-03 |
| 1093052359 | Third Day Ministry | Religious Nonmedical Practitioner | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1548215254 | Adrian Gendell Bonser | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-23 |
| 1245284041 | Magdy Attia | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-19 |
| 1245845288 | Jennie Gray Mulligan | Social Worker | 1911 Hallman St Ne, Atlanta, GA 30317-1001 | 2020-09-15 |
| 1942837125 | Kathryn Caracappa Boulet | Counselor | 1942 Delano Dr Ne, Atlanta, GA 30317-1009 | 2020-03-26 |
| Find all providers in zip 30317 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609158963 | Centers for Disease Control and Prevention, Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 | 2011-09-13 |
| 1235469875 | Hiv/aids Empowerment Resource Center for Young Women, Inc. | Public Health or Welfare | 230 Peachtree St Nw Ste 1800, Atlanta, GA 30303-1514 | 2010-01-04 |
| 1245377605 | Neighborhood Union Health Center | Public Health or Welfare | 186 Sunset Avenue Nw, Atlanta, GA 30314 | 2007-02-01 |
| 1255477485 | Dunbar Teen Center | Public Health or Welfare | 477 Windsor St Sw, Atlanta, GA 30312-2530 | 2007-01-29 |
| 1043356280 | South Fulton Health Center | Public Health or Welfare | 1225 Capitol Avenue, Se, Atlanta, GA 30315 | 2007-01-29 |
| 1922144161 | Center Hill Health Center | Public Health or Welfare | 3201 Atlanta Industrial Pkwy Nw, Atlanta, GA 30331-1045 | 2007-01-29 |
| 1639225402 | Sandy Springs Health Center | Public Health or Welfare | 330 Johnson Ferry Rd Ne, Atlanta, GA 30328-4128 | 2007-01-26 |
| 1508914995 | Lakewood Health Center | Public Health or Welfare | 1855 Jonesboro Road Se, Atlanta, GA 30315 | 2007-01-08 |
| 1528116993 | Aldredge Health Center | Public Health or Welfare | 99 Jesse Hill Jr Drive Rm 402, Atlanta, GA 30303 | 2007-01-08 |
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| Find all providers in ATLANTA | ||||
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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.