Appling County Board of Health
Organization Active NPI Public Health or Welfare Agency · Baxley, GA
NPI 1174568372 · NPPES record last updated May 30, 2013
Key facts
- NPI
- 1174568372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- APPLING COUNTY BOARD OF HEALTH
- Practice address
- 34 Walnut St
Baxley, GA 31513-0119 - Phone
- (912) 367-4601
- Fax
- (912) 367-1096
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Starla Sutton
- Title
- Pso
- Phone
- (912) 427-2042
Practitioners 2
-
Martha D Beecher, NP
-
Amanda Kay Petty, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130529000488 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325080054 | Practice locations: Baxley, GA |
National Provider Directory
Locations
283 Walnut St
Baxley, GA 31513
Phone (855) 473-4374
201 Walnut St
Baxley, GA 31513
Phone (912) 367-4601
201 Walnut St
Baxley, GA 31513
Phone (912) 367-4601
34 Walnut St
Baxley, GA 31513
Phone (912) 367-4601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
34 Walnut St
Baxley, GA 31513-0119
Mailing address
PO Box 37
Baxley, GA 31515-0037
Phone (912) 367-4601
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000442967B | Medicaid | GA | |
| 000611619A | Medicaid | GA | |
| 000453098A | Medicaid | GA | |
| 000052027B | Medicaid | GA | |
| 000457784A | Medicaid | GA |
Other providers in Baxley, GA
- Angels With Care Agency
- Angels With Care Agency
- Appling Counseling Center
- Appling County Ambulance Service
- Appling County Board of Education
- Appling Eye Clinic,Inc.
- Appling Eye Clinic.Inc.
- Appling Family Total Healthcare, P.C.
- Appling Total Wellness, LLC
- Michael Dustin Arnold
All providers in Baxley, 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 30, 2013. 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.