Jeff Davis County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

JEFF DAVIS COUNTY BOARD OF HEALTH

Practice address

30 E Sycamore St
Hazlehurst, GA 31539-6162

Phone

(912) 375-2425

Fax

(912) 375-3845

NPI assigned

Jul 1, 2006

Last updated

Aug 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Starla Sutton

Title

Pso

Phone

(912) 427-2042

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Martha D Beecher, NP

  • Nurse Practitioner
  • Baxley, GA
  • NPI 1629008040
  NPD (past)
• Nancy W Futch, NP

  • Nurse Practitioner
  • Waycross, GA
  • NPI 1568496057
  NPD (past)
• Rosemarie D Parks, MD

  • Internal Medicine Physician
  • Waycross, GA
  • NPI 1821005554
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1184653479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315390603",
            "telephone_number": "912-375-2425",
            "fax_number": "912-375-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E SYCAMORE ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396162",
            "telephone_number": "912-375-2425",
            "fax_number": "912-375-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF DAVIS COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "STARLA",
        "authorized_official_title_or_position": "PSO",
        "authorized_official_telephone_number": "912-427-2042"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000442967M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052027L",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000453098M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000777609A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457784M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kai Bowen Hughes, RN, MSN, PMHNP-BC
• Shana Danielle Hutto, NP
• Hyperbaric & Woundcare Inc
• HZ SNF LLC (Hazlehurst Court Care and Rehabilitation Center)
• J H Harvey Co. LLC (Harveys Supermarket Pharmacy #2369)
• Jeff Davis County Schools
• Jeff Davis Urgent Care
• Jeffery M Butler MD PC
• JKK, Inc. (Pineland Personal Care Home Als)
• Jennifer Kersey, PHARMD, RPH

• Public Health or Welfare Agency in Hazlehurst, GA
• Providers in Hazlehurst, 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 Aug 9, 2011; 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.