NORTHEAST HEALTH DISTRICT - EPSDT COUNTY (NPI# 1871799205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871799205 |
| Entity Type | Organization |
| Organization Name | NORTHEAST HEALTH DISTRICT - EPSDT COUNTY |
| Other Organization Name | JACKSON CO HLTH DEPT DIST 10 |
| Practice Address |
341 Stan Evans Dr Jefferson GA 30549-2909 |
| Practice Telephone | 7063675204 |
| Practice Fax Number | 7063679023 |
| Mailing Telephone | 7063675204 |
| Mailing Fax Number | 7063679023 |
| Enumeration Date | 2007-06-22 |
| 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 | 000051983F | 05 |
| Other Name | Type Code |
|---|---|
| JACKSON 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 |
| 1235334293 | Northeast Health District - Epsdt County | Clinic/Center | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2007-06-19 |
| 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 |
341 STAN EVANS DR |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649317686 | Jackson County Health Department | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 2007-01-31 |
| 1942733407 | Jackson County Health Department | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 2017-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| 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 |
|---|---|---|---|---|
| 1649317686 | Jackson County Health Department | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 2007-01-31 |
| 1942733407 | Jackson County Health Department | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 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 |
| 1174660187 | Madison County Health Department | Clinic/Center | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 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 | ||||
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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.