NPIMap

Organization Active NPI

Emanuel County Board of Health

  • Public Health or Welfare Agency
  • Swainsboro, GA
National Provider Identifier
1023645728
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
EMANUEL COUNTY BOARD OF HEALTH
Practice address
50 Ga Highway 56 N
Swainsboro, GA 30401-4441
Phone
(478) 237-7501
Fax
(478) 289-2501
NPI assigned
Mar 24, 2020
Last updated
Mar 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Shannon C Newton
Title
District Billing Supervisor
Phone
(706) 667-4265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

50 Ga Highway 56 N
Swainsboro, GA 30401-4441

Mailing address

50 Ga Highway 56 N
Swainsboro, GA 30401-4441
Phone (478) 237-7501

Other practice location 1

503 S Railroad Avenue
Twin City, GA 30471-0216
Phone (478) 763-3452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190823001853 GA Part B Supplier - Clinic/Group Practice 6103995329 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Swainsboro, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Emanuel County Board of Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1023645728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GA HIGHWAY 56 N",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014441",
            "telephone_number": "478-237-7501",
            "fax_number": "478-289-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GA HIGHWAY 56 N",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014441",
            "telephone_number": "478-237-7501",
            "fax_number": "478-289-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 S Railroad Avenue",
            "address_purpose": "LOCATION",
            "city": "Twin City",
            "state": "GA",
            "postal_code": "304710216",
            "country_code": "US",
            "telephone_number": "478-763-3452",
            "fax_number": "478-289-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMANUEL COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DISTRICT BILLING SUPERVISOR",
        "authorized_official_telephone_number": "706-667-4265"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.