Mitchell County Board of Healtth

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MITCHELL COUNTY BOARD OF HEALTTH

Practice address

88 W Oakland Ave
Camilla, GA 31730-1254

Phone

(229) 336-2055

Fax

(229) 336-1100

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Charles D Ruis, MD

Title

District Health Director

Phone

(229) 352-4275

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1184615122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317300283",
            "telephone_number": "229-355-3081",
            "fax_number": "229-336-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 W OAKLAND AVE",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301254",
            "telephone_number": "229-336-2055",
            "fax_number": "229-336-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL COUNTY BOARD OF HEALTTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "RUIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DISTRICT HEALTH DIRECTOR",
        "authorized_official_telephone_number": "229-352-4275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456475J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00738196A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00052049K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00452933O",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Develle Miller
• Kristie Miller
• Elizabeth Morgan Millsaps, RPH, PHARM D
• Mitchell Baker Service Center
• Mitchell County Board of Education
• Mitchell County EMS
• Mitchell County Hospital (Health Professionals of Mitchell County)
• Mitchell County Pediatrics and Health Center
• Mitchell County Pediatrics Center
• Teresa Lanette Mitchell, PHARM.D.

• Public Health or Welfare Agency in Camilla, GA
• Providers in Camilla, 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 23, 2017; 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.