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 IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00052082KMedicaidGA
766473127AMedicaidGA
00058726LMedicaidGA
00052082VMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 29, 2025.

{
    "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

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Sources for this page

Verify at the official NPI Registry.