Stephens County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

STEPHENS COUNTY BOARD OF HEALTH

Practice address

64 Boulevard Ste 102
Toccoa, GA 30577-3010

Phone

(706) 282-4507

Fax

(706) 282-4511

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David N Westfall, M.D.NPI 1740258532

Title

Health Director

Phone

(770) 535-5743

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David N. Westfall, M.D.

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1740258532
  NPD (past) Authorized official
• Donna K Cisson, RN

  • Registered Nurse
  • Toccoa, GA
  • NPI 1376637892
  NPD (past)
• Jennifer Adams Gastley, RN

  • Registered Nurse
  • Toccoa, GA
  • NPI 1568557726
  NPD (past)
• John K Martin, DDS

  • General Practice Dentistry
  • Toccoa, GA
  • NPI 1083786412
  NPD (past)
• Karen Hiatt Palmer, R.N.

  • Community Health Registered Nurse
  • Toccoa, GA
  • NPI 1386767903
  NPD (past)
• Penny Laine Roberson, RN

  • Registered Nurse
  • Toccoa, GA
  • NPI 1063535730
  NPD (past)
• Thelethia Ann Teasley, LPN

  • Licensed Practical Nurse
  • Toccoa, GA
  • NPI 1821181330
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1225091028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BOULEVARD STE 102",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773010",
            "telephone_number": "706-282-4507",
            "fax_number": "706-282-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BOULEVARD STE 102",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773010",
            "telephone_number": "706-282-4507",
            "fax_number": "706-282-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "770-535-5743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00051972K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000924679C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00453109K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00649437G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00058638A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00442945L",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456442D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Star Coach Performance,LLC
• David Roger Steele, PHARM.D.
• Stephen F Pinkerton, MD, PC
• Stephens County Ambulance Service
• Stephens County Anesthesia Services,LLC
• Stephens County Eye Clinic,Inc
• Stephens County Hospital Authority
• Stephens County Hospital Authority
• Stephens County Hospital Authority
• Stephens County Hospital Authority

• Public Health or Welfare Agency in Toccoa, GA
• Providers in Toccoa, 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 Dec 10, 2010; 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.