Active NPI
Fannin County Health Department
- Public Health or Welfare Agency
- Blue Ridge, GA
National Provider Identifier
1205800372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- FANNIN COUNTY HEALTH DEPARTMENT
- Doing business as
- 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
- Last updated
- Feb 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelli Kinsey, CPB
- Title
- Billing Supervisor
- Phone
- (706) 529-5741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | GA | Primary |
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 names 1
- Fannin County Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| 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
National Provider DirectoryLocations
95 Ouida St
Blue Ridge, GA 30513
Phone (706) 632-3023
98 Ouida St
Blue Ridge, GA 30513
Phone (706) 632-3023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1205800372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 OUIDA ST",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134627",
"telephone_number": "706-632-3023",
"fax_number": "706-632-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 OUIDA STREET",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134627",
"telephone_number": "706-632-3023",
"fax_number": "706-632-5257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FANNIN COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "KINSEY",
"authorized_official_first_name": "KELLI",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "706-529-5741",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CPB"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fannin County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.