South Health District
Organization Active NPI Public Health or Welfare Agency · Ashburn, GA
NPI 1295899201 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1295899201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- SOUTH HEALTH DISTRICT
- Practice address
- 745 Hudson Ave
Ashburn, GA 31714-5312 - Phone
- (229) 567-4357
- Fax
- (229) 567-3947
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Allie Pridgen
- Title
- District Administrator
- Phone
- (229) 333-5290
Other NPIs on the same Medicare enrollment 13
Corporate family (same tax ID) 20
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050825000504 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0648255018 |
13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lakeland, GA; Valdosta, GA; Tifton, GA; Statenville, GA; Quitman, GA; Ocilla, GA; Lake Park, GA; Hahira, GA… |
National Provider Directory
- Tax ID family
- South Health District
Locations
745 Hudson Ave
Ashburn, GA 31714
Phone (229) 567-4357
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
745 Hudson Ave
Ashburn, GA 31714-5312
Mailing address
PO Box 5147
Valdosta, GA 31603-5147
Phone (229) 333-5290
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000052038K | Medicaid | GA | |
| 338808 | Other | GA | WELLCARE |
| 000452559I | Medicaid | GA | |
| 000457762B | Medicaid | GA |
Other names
- Turner County Board of Health
Other providers in Ashburn, GA
- S&S Therapy
- Susan Perkins Scott
- Hope Leora Smith
- Shylynski Zentorrie Smith
- South Georgia CSB
- Donica Spencer
- Mona Kim Swanson
- Sara Ann Taft
- Hannah Dupriest Tanner
- Tift Regional Health System Inc
All providers in Ashburn, GA · Public Health or Welfare Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.