Randolph County Board of Health
Organization Active NPI Public Health or Welfare Agency · Cuthbert, GA
NPI 1003843079 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1003843079
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- RANDOLPH COUNTY BOARD OF HEALTH
- Practice address
- 207 N Webster St
Cuthbert, GA 39840-2523 - Phone
- (833) 337-1749
- Fax
- (229) 732-5007
- NPI assigned
- Jun 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Beverley Townsend, M.D.
- Title
- District Health Director
- Phone
- (706) 321-6108
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101020000722 | GA | Part B Supplier - Public Health/Welfare Agency | 6901830975 | Practice locations: Cuthbert, GA |
National Provider Directory
Locations
207 N Webster St
Cuthbert, GA 39840
Phone (229) 732-2414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
207 N Webster St
Cuthbert, GA 39840-2523
Mailing address
207 N Webster St
Cuthbert, GA 39840-2523
Phone (833) 337-1749
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00052082K | Medicaid | GA | |
| 766473127A | Medicaid | GA | |
| 00058726L | Medicaid | GA | |
| 00052082V | Medicaid | GA |
NPI Registry JSON
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1003843079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N WEBSTER ST",
"city": "CUTHBERT",
"state": "GA",
"postal_code": "398402523",
"telephone_number": "833-337-1749",
"fax_number": "229-732-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N WEBSTER ST",
"city": "CUTHBERT",
"state": "GA",
"postal_code": "398402523",
"telephone_number": "833-337-1749",
"fax_number": "229-732-5007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDOLPH COUNTY BOARD OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-27",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "TOWNSEND",
"authorized_official_first_name": "BEVERLEY",
"authorized_official_title_or_position": "DISTRICT HEALTH DIRECTOR",
"authorized_official_telephone_number": "706-321-6108",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00052082K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "766473127A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00058726L",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00052082V",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cuthbert, GA
- Our Space Clubhouse
- Emmanuel Ndaya Ozimba
- Heather Page
- Leon Caldwell Patterson Jr.
- Danica Raines
- Randolph County Coutny School System
- Randolph County Health and Rehabilitation, LLC
- Southcare Inc- a Private Homecare Agency
- Southwest Ga Regional Medical Center
- Carla Taylor
All providers in Cuthbert, GA · Public Health or Welfare Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.