NPIMap

Organization Active NPI

Washington County Board of Health

  • Public Health or Welfare Agency
  • Sandersville, GA
National Provider Identifier
1124038096
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WASHINGTON COUNTY BOARD OF HEALTH
Practice address
201 Morningside Dr
Sandersville, GA 31082-2426
Phone
(478) 552-3210
Fax
(478) 552-1832
NPI assigned
Aug 9, 2006
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Danielle McNair
Title
Authorized Official
Phone
(478) 751-6303

Specialties & licenses 1

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

Addresses

Primary practice location

201 Morningside Dr
Sandersville, GA 31082-2426

Mailing address

201 2ND St Ste 1100
Macon, GA 31201-6328
Phone (478) 297-5190

Other identifiers 4

IdentifierTypeStateIssuer
00051961NMedicaidGA
00460336MMedicaidGA
00733257AMedicaidGA
00456541BMedicaidGA

Other names 1

  • Washington County Health Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120301000212 GA Part B Supplier - Mass Immunization (Roster Biller Only) 9032377502 Receives reassigned benefits from 1 practitioner
Practice locations: Sandersville, GA

National Provider Directory

National Provider Directory

Locations

201 Morningside Dr
Sandersville, GA 31082
Phone (478) 552-3210

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1124038096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 2ND ST STE 1100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016328",
            "telephone_number": "478-297-5190",
            "fax_number": "478-751-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MORNINGSIDE DR",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310822426",
            "telephone_number": "478-552-3210",
            "fax_number": "478-552-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "478-751-6303"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00051961N",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00460336M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00733257A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456541B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Health Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Washington County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.