NPIMap

Organization Active NPI

Dekalb County Board of Health

  • Public Health or Welfare Agency
  • Atlanta, GA
National Provider Identifier
1154428985
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DEKALB COUNTY BOARD OF HEALTH
Practice address
2006 Hosea Williams Dr.
Atlanta, GA 30317
Phone
(404) 371-0255
Fax
(404) 371-9902
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandra E Bouchelion, MD
Title
District Director/Ceo
Phone
(404) 294-3787

Specialties & licenses 1

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

Addresses

Primary practice location

2006 Hosea Williams Dr.
Atlanta, GA 30317

Mailing address

445 Winn Way
PO Box 987
Decatur, GA 30030-1707
Phone (404) 371-0255

Other names 1

  • Kirkwood Teen Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Dekalb County Board8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2006 Hosea L Williams Dr NE
Atlanta, GA 30317
Phone (404) 371-0255

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154428985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "address_2": "PO BOX 987",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301707",
            "telephone_number": "404-371-0255",
            "fax_number": "404-371-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HOSEA WILLIAMS DR.",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30317",
            "telephone_number": "404-371-0255",
            "fax_number": "404-371-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOUCHELION",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DISTRICT DIRECTOR/CEO",
        "authorized_official_telephone_number": "404-294-3787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirkwood Teen Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.