Bacon County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

BACON COUNTY BOARD OF HEALTH

Practice address

101 N Wayne St
Alma, GA 31510-2540

Phone

(912) 632-4712

Fax

(912) 632-7834

NPI assigned

Jun 19, 2006

Last updated

Oct 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Starla Sutton

Title

Pso

Phone

(912) 427-2042

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Kayla Davis, RN

  • Registered Nurse
  • Alma, GA
  • NPI 1366363079
  NPD (past)
• Nancy W Futch, NP

  • Nurse Practitioner
  • Waycross, GA
  • NPI 1568496057
  NPD (past)
• Olivia Ruth Gibson, RN/APRN

  • Nurse Practitioner
  • Waycross, GA
  • NPI 1942233762
  NPD (past)
• Angela Perry, NP

  • Nurse Practitioner
  • Jesup, GA
  • NPI 1063446326
  NPD (past)
• Heidi Nicole Taylor, R.D., L.D.

  • Registered Dietitian
  • Alma, GA
  • NPI 1700116720
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1063457398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315100116",
            "telephone_number": "912-632-4712",
            "fax_number": "912-632-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WAYNE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102540",
            "telephone_number": "912-632-4712",
            "fax_number": "912-632-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACON COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "STARLA",
        "authorized_official_title_or_position": "PSO",
        "authorized_official_telephone_number": "912-427-2042"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000442967D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000584702A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052027D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457784C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000453098C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma Family Dentistry
• Alma Sleep Center LLC
• American Oncology Partners, P.a. (Low Country Cancer Care)
• Kymberly D Anderson, NP
• Bacon County Board of Education
• Bacon County Commissioners (Alma Bacon County Ambulance Service)
• Bacon County Family Medicine, LLC
• Bacon County Health Services, Inc (Bacon County Rural Health Clinic)
• Bacon County Health Services, Inc.
• Bacon County Health Services, Inc.

• Public Health or Welfare Agency in Alma, GA
• Providers in Alma, 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 Oct 12, 2011; 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.