GEORGIA DEPARTMENT OF HUMAN RESOURCES (NPI# 1679614515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679614515 |
| Entity Type | Organization |
| Organization Name | GEORGIA DEPARTMENT OF HUMAN RESOURCES |
| Other Organization Name | FLOYD COUNTY BOH- MOBILE DENTAL VAN |
| Practice Address |
1309 Redmond Rd Nw Rome GA 30165-1307 |
| Practice Telephone | 7068025343 |
| Practice Fax Number | 7068025681 |
| Mailing Telephone | 7068025343 |
| Mailing Fax Number | 7068025681 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-07-11 |
| Authorized Official Name | DR. CHRISTOPHER WADE SELLERS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7062956704 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
025271 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000926879 | 05 | |
| GA | 000926879H | 05 | |
| GA | 000926879I | 05 | |
| GA | 000926879E | 05 | |
| GA | 000926879D | 05 | |
| GA | 000926879G | 05 | |
| GA | 0009288679B | 05 | |
| GA | 000926879F | 05 | |
| GA | 000926879A | 05 | |
| GA | 000926879B | 05 |
| Other Name | Type Code |
|---|---|
| Floyd County BOH- Mobile Dental Van | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356586259 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1631 Valley Cir, Milledgeville, GA 31062-0001 | 2008-12-05 |
| 1609029925 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 138 Swint Ave Se, Milledgeville, GA 31061-3928 | 2008-10-30 |
| 1154597672 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 120 Daphney St Se, Milledgeville, GA 31061-4342 | 2008-05-05 |
| 1184895823 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 419 Moye Dr, Sandersville, GA 31082-7624 | 2008-03-21 |
| 1841487667 | Georgia Department of Human Resources | General Acute Care Hospital | 2400 Vinson Hwy, Milledgeville, GA 31062-0001 | 2007-09-25 |
| 1164583274 | Georgia Department of Human Resources | Case Management | 2 Peachtree St., 9th Fl., Atlanta, GA 30303-3142 | 2006-12-12 |
| 1568530798 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3533 Stafford St, Hephzibah, GA 30815-6625 | 2006-12-04 |
| 1366510067 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2311 Mura Dr, Augusta, GA 30906-4819 | 2006-12-01 |
| 1629146311 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3518 Snowden Dr, Hephzibah, GA 30815-6631 | 2006-12-01 |
| 1912075904 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3004 Cromwell Ct, Hephzibah, GA 30815-6212 | 2006-11-30 |
| Street Address |
1309 REDMOND RD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508114281 | Leslie Kara May | Social Worker | 1309 Redmond Rd Nw, Rome, GA 30165-9655 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| 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 |
|---|---|---|---|---|
| 1851432173 | Floyd County Health Department | Clinic/Center | 16 East 12th Street, Suite 202, Rome, GA 30161-4720 | 2007-02-09 |
| 1437681426 | Nw Georgia Specialty Care | Clinic/Center | 16 E 12th St Sw, Suite 202, Rome, GA 30161-4720 | 2017-03-30 |
| 1861533705 | Floyd County Board of Health | Clinic/Center | 16 E 12th St Sw, Rome, GA 30161-4720 | 2007-02-12 |
| 1033250972 | Georgia Department of Human Resources | Clinic/Center | 16 E 12th St Sw, Rome, GA 30161-4720 | 2007-02-12 |
| 1740340322 | Floyd County Board of Health | Clinic/Center | 16 E 12th St Sw, Sute 200, Rome, GA 30161-4720 | 2006-12-12 |
| 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 |
| 1174660187 | Madison County Health Department | Clinic/Center | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2007-01-31 |
| 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 |
| 1114064177 | Morgan County Health Department | Clinic/Center | 2005 S Main St Ste 200, Madison, GA 30650-2055 | 2007-01-31 |
| 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.