Fannin County Health Department
Organization Active NPI Public Health or Welfare Agency · Blue Ridge, GA
NPI 1205800372 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1205800372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- FANNIN COUNTY HEALTH DEPARTMENT
- Practice address
- 95 Ouida Street
Blue Ridge, GA 30513-4627 - Phone
- (706) 632-3023
- Fax
- (706) 632-5257
- NPI assigned
- Feb 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Kelli Kinsey, CPB
- Title
- Billing Supervisor
- Phone
- (706) 529-5741
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111229000539 | GA | Part B Supplier - Public Health/Welfare Agency | 6709052467 | Practice locations: Blue Ridge, GA |
National Provider Directory
Locations
98 Ouida St
Blue Ridge, GA 30513
Phone (706) 632-3023
95 Ouida St
Blue Ridge, GA 30513
Phone (706) 632-3023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | GA | Yes |
Addresses
Primary practice location
95 Ouida Street
Blue Ridge, GA 30513-4627
Mailing address
95 Ouida St
Blue Ridge, GA 30513-4627
Phone (706) 632-3023
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000051994C | Medicaid | GA | |
| 000456519C | Medicaid | GA | |
| 000480664A | Medicaid | GA | |
| 000450282C | Medicaid | GA |
Other names
- Fannin County Health Department
Other providers in Blue Ridge, GA
- Hannah Nicole Ellis
- Angel Fain
- Family Life Chiropractic Center
- Familylife Medical, LLC
- Fannin County Board of Commissioners
- Fannin Drugs, Inc
- Fannin Ed Physicians LLC
- Fannin Emergency Group LLC
- Fannin Physician Services LLC
- Fannin Regional Hospital Inc
All providers in Blue Ridge, 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 Feb 19, 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.