Camden County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CAMDEN COUNTY BOARD OF HEALTH

Doing business as

Camden County Health Department

Practice address

100 Winding Road
Kingsland, GA 31548

Phone

(912) 882-8515

Fax

(912) 882-2072

NPI assigned

Nov 2, 2005

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

CAMDEN COUNTY BOARD OF HEALTHAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy A Cooper

Title

District Billing Dept. Coordinator

Phone

(912) 262-2347

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Camden County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Camden County Board of Health

  dba Camden County Health Department

  • Public Health or Welfare Agency
  • Kingsland, GA
  • NPI 1083605737

  O20070307000012

  Same enrollment

Part of

Camden County Health Dept

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Bishop

  • Registered Nurse
  • Woodbine, GA
  • NPI 1811225550
  NPD (past)
• Mallory Chappell, APRN

  • Family Nurse Practitioner
  • Kingsland, GA
  • NPI 1679829519
  NPD (past)
• Marlene Ann Enos, RN

  • Registered Nurse
  • Woodbine, GA
  • NPI 1336509538
  NPD (past)
• Rebecca Heatherly, LPN

  • Licensed Practical Nurse
  • Woodbine, GA
  • NPI 1821344763
  NPD (past)
• Melissa R Perkins, RN

  • Registered Nurse
  • Woodbine, GA
  • NPI 1740525013
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1013908755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SCRANTON CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250540",
            "telephone_number": "912-262-2347",
            "fax_number": "912-262-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WINDING ROAD",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "31548",
            "telephone_number": "912-882-8515",
            "fax_number": "912-882-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Georgia Ave",
            "address_purpose": "LOCATION",
            "city": "Woodbine",
            "state": "GA",
            "postal_code": "315695504",
            "country_code": "US",
            "telephone_number": "912-576-3040",
            "fax_number": "912-729-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMDEN COUNTY BOARD OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMDEN COUNTY BOARD OF HEALTH",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DISTRICT BILLING DEPT. COORDINATOR",
        "authorized_official_telephone_number": "912-262-2347"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000453219N",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10057388",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000051818M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456508D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457938I",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "202G608596",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336058",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Dawn Browning-Cofield, FNP
• C&S Health Assistance LLC
• Cindy Rochelle Cambron
• Camcoast Services Inc
• Camden C & a
• Camden County Board of Health (Camden County Health Department)
• Camden County Commissioner of (Camden County Fire Rescue)
• Camden County Commissioner of
• Camden County Schools
• Camden Health and Wellness PC

• Public Health or Welfare Agency in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Public Health or Welfare Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.