Organization Active NPI

Cherokee County Health Department

Doing business as Living Bridge Center East

  • Public Health or Welfare Agency
  • Gainesville, GA
National Provider Identifier
1235812744
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CHEROKEE COUNTY HEALTH DEPARTMENT
Doing business as
Living Bridge Center East
Practice address
1498 Jesse Jewell Pkwy SE Ste C
Gainesville, GA 30501-3874
Phone
(770) 744-4806
NPI assigned
Aug 10, 2023
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHEROKEE COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Kelli Kinsey
Title
Billing Specialist
Phone
(706) 529-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

1498 Jesse Jewell Pkwy SE Ste C
Gainesville, GA 30501-3874

Mailing address

1710 Whitehouse CT
Dalton, GA 30720-8523
Phone (706) 529-5757

Other identifiers 1

IdentifierTypeStateIssuer
003294455AMedicaidGA

Other names 1

  • Living Bridge Center East Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251215000140 GA Part B Supplier - Clinic/Group Practice 3476643123 Receives reassigned benefits from 5 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canton, GA; Gainesville, GA; Dalton, GA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cherokee County Health Department3 organizations share this tax ID, including this one
Part of
Cherokee County Health Dept

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1235812744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 WHITEHOUSE CT",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208523",
            "telephone_number": "706-529-5757",
            "fax_number": "706-529-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 JESSE JEWELL PKWY SE STE C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013874",
            "telephone_number": "770-744-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEROKEE COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2023-08-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "706-529-5757"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003294455A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Bridge Center East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Bridge Center East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.