Grady County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

GRADY COUNTY BOARD OF HEALTH

Practice address

1030 Fourth Street, SE
Cairo, GA 31728

Phone

(229) 377-2992

Fax

(229) 377-4544

NPI assigned

Oct 31, 2005

Last updated

Oct 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles D Ruis, MDNPI 1275570715

Title

District Health Director

Phone

(229) 352-4275

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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.

• Charles D Ruis, MD

  • Family Medicine Physician
  • Albany, GA
  • NPI 1275570715
  NPD (past) Authorized official

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1285625103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 FOURTH STREET, SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "31728",
            "telephone_number": "229-377-2992",
            "fax_number": "229-377-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 FOURTH STREET, SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "31728",
            "telephone_number": "229-377-2992",
            "fax_number": "229-377-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "RUIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DISTRICT HEALTH DIRECTOR",
        "authorized_official_telephone_number": "229-352-4275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456475AB",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00452933P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00052049H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456475G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00452933G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Pines Community Service Board
• Georgia Pines Community Service Board
• Georgia Pines Community Service Board
• Glenn K. Robinson DC PC (Cairo Chiropractic Center)
• Grady County Board of Commissioners (Grady County Emergency Medical Service)
• Grady County Schools
• Grady General Hospital
• Grady General Hospital (Grady General Hospital - vRadFL)
• Grady General Hospital (Grady General Hospital - vRadSC)
• Grady General Hospital (Archbold Living Cairo)

• Public Health or Welfare Agency in Cairo, GA
• Providers in Cairo, 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 Oct 23, 2017; 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.