NPIMap

Organization Active NPI

Rockdale County Health Department

  • Public Health or Welfare Agency
  • Conyers, GA
National Provider Identifier
1295706083
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
ROCKDALE COUNTY HEALTH DEPARTMENT
Practice address
1329 Portman Dr SE
Conyers, GA 30094-6619
Phone
(770) 785-5936
Fax
(770) 785-6876
NPI assigned
Jan 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Veronica E Hudson
Title
Billing Supervisor
Phone
(678) 442-6884

Specialties & licenses 1

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

Addresses

Primary practice location

1329 Portman Dr SE
Conyers, GA 30094-6619

Mailing address

PO Box 897
Lawrenceville, GA 30046-0897
Phone (770) 339-4260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090827000040 GA Part B Supplier - Mass Immunization (Roster Biller Only) 9436204443 Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory

Locations

1329 Portman Dr SE
Conyers, GA 30094
Phone (770) 785-5936

985 Taylor St SW
Conyers, GA 30012
Phone (770) 785-4345

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295706083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300460897",
            "telephone_number": "770-339-4260",
            "fax_number": "770-963-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 PORTMAN DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946619",
            "telephone_number": "770-785-5936",
            "fax_number": "770-785-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "678-442-6884"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.