Organization Active NPI

Fannin County Health Department

  • Public Health or Welfare Agency
  • Blue Ridge, GA
National Provider Identifier
1205800372
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111229000539 GA Part B Supplier - Public Health/Welfare Agency 6709052467 Practice locations: Blue Ridge, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.