South Health District
Organization Active NPI Public Health or Welfare Agency · Nashville, GA
NPI 1154498251 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1154498251
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- SOUTH HEALTH DISTRICT
- Practice address
- 600A S Jefferson St
Nashville, GA 31639-2514 - Phone
- (229) 686-5411
- Fax
- (229) 686-9015
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Allie Pridgen
- Title
- District Administrator
- Phone
- (229) 333-5290
Other NPIs on the same Medicare enrollment 13
Corporate family (same tax ID) 20
Practitioners 1
-
Kari Studstill, RN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050825000504 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0648255018 |
13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lakeland, GA; Valdosta, GA; Tifton, GA; Statenville, GA; Quitman, GA; Ocilla, GA; Lake Park, GA; Hahira, GA… |
National Provider Directory
- Tax ID family
- South Health District
Locations
600A S Jefferson St
Nashville, GA 31639
Phone (229) 686-5411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
600A S Jefferson St
Nashville, GA 31639-2514
Mailing address
PO Box 5147
Valdosta, GA 31603-5147
Phone (229) 333-5290
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340818 | Other | GA | WELLCARE |
| 000052038C | Medicaid | GA | |
| 000452559A | Medicaid | GA | |
| 000457762E | Medicaid | GA |
Other names
- Berrien County Board of Health
Other providers in Nashville, GA
- Andrew Wayne Solomon
- South Central Primary Care Center, Inc
- South Georgia Behavior Associates
- South Georgia Medical Center Inc
- South Georgia Medical Center Inc
- Southland-Nashville Emergency Services, LLC
- Southland-Nashville Emergency Services, LLC.
- Southwest Georgia Rehab, Inc
- SSSS
- Dena J Stainback
All providers in Nashville, GA · Public Health or Welfare Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.