NPIMap

Organization Active NPI

Chatham County Board of Health

Doing business as Chatham County Health Department

  • Public Health or Welfare Agency
  • Savannah, GA
National Provider Identifier
1275618407
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CHATHAM COUNTY BOARD OF HEALTH
Doing business as
Chatham County Health Department
Practice address
1395 Eisenhower Dr
Savannah, GA 31406-3901
Phone
(912) 356-2441
Fax
(912) 356-2868
NPI assigned
Oct 26, 2006
Last updated
Jan 6, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CHATHAM COUNTY BOARD OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Mrs. Stacy A. Cooper
Title
District Dept Billing Coordinator
Phone
(912) 262-2347

Specialties & licenses 1

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

Addresses

Primary practice location

1395 Eisenhower Dr
Savannah, GA 31406-3901

Mailing address

150 Scranton Connector
Brunswick, GA 31525-0540
Phone (912) 262-2347

Other identifiers 5

IdentifierTypeStateIssuer
000051862AMedicaidGA
000456497CMedicaidGA
000459786AMedicaidGA
000654376DMedicaidGA
FLU230OtherGAMEDICARE NUMBER

Other names 1

  • Chatham 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
O20091104000022 GA Part B Supplier - Mass Immunization (Roster Biller Only) 1658367727 Practice locations: Savannah, GA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Chatham Co BD of Health

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1275618407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SCRANTON CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250540",
            "telephone_number": "912-262-2347",
            "fax_number": "912-262-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063901",
            "telephone_number": "912-356-2441",
            "fax_number": "912-356-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM COUNTY BOARD OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHATHAM COUNTY BOARD OF HEALTH",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DISTRICT DEPT BILLING COORDINATOR",
        "authorized_official_telephone_number": "912-262-2347",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000051862A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456497C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000459786A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000654376D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "FLU230",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatham County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.