Active NPI
Dodge County Board of Health
Doing business as Dodge County Health Department
- Public Health or Welfare Agency
- Eastman, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- DODGE COUNTY BOARD OF HEALTH
- Doing business as
- Dodge County Health Department
- Practice address
- 1121 Plaza Ave
Eastman, GA 31023-6761 - Phone
- (478) 374-5576
- Fax
- (478) 374-0234
- NPI assigned
- Nov 30, 2006
- Last updated
- Oct 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candace Spicer Christian
- Title
- Administrator
- Phone
- (478) 275-6545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
1121 Plaza Ave
Eastman, GA 31023-6761
Mailing address
1121 Plaza Ave
Eastman, GA 31023-6761
Phone (478) 374-5576
Other names 1
- Dodge County Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080418000222 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4183702954 | Practice locations: Eastman, GA |
National Provider Directory
National Provider DirectoryLocations
3193 Howell Mill Rd NW
Ste 322
Atlanta, GA 30327
Phone (404) 352-3683
2711 Irvin Way
Ste 203
Decatur, GA 30030
Phone (404) 292-5010
465 Winn Way
Decatur, GA 30030
Phone (404) 663-4029
5255 Snapfinger Park Dr
Decatur, GA 30035
Phone (313) 969-7449
1121 Plaza Ave
Eastman, GA 31023
Phone (478) 374-5576
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Internal Medicine Physician
- Dublin, GA
- NPI 1437219367
-
- Registered Nurse
- Cochran, GA
- NPI 1235083643
-
- Physician Assistant
- Decatur, GA
- NPI 1588555619
-
- Nephrology Physician
- Greensboro, GA
- NPI 1225050057
-
- Nephrology Physician
- Greensboro, GA
- NPI 1215923149
-
- Registered Nurse
- Eastman, GA
- NPI 1386599678
-
- Nephrology Physician
- Decatur, GA
- NPI 1588808067
-
- Public Health Dentistry
- Eastman, GA
- NPI 1578555157
-
- Registered Nurse
- Dublin, GA
- NPI 1891649497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318377600000",
"number": "1316015407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 PLAZA AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310236761",
"telephone_number": "478-374-5576",
"fax_number": "478-374-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 PLAZA AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310236761",
"telephone_number": "478-374-5576",
"fax_number": "478-374-0234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DODGE COUNTY BOARD OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2011-10-12",
"status": "A",
"authorized_official_last_name": "CHRISTIAN",
"authorized_official_first_name": "CANDACE",
"authorized_official_middle_name": "SPICER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "478-275-6545"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dodge County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eastman, GA
- Dale Clements OD LLC
- Dana W Mullis DMD PC
- Jamie Lynn Day, FNP
- Dennis Drugs
- Dixie Medical
- Dodge County Commissioner of Roads and Revenues (Dodge County EMS)
- Dodge County Emergency Physicians LLC
- Dodge County Hospital Authority (Eastman Family Practice)
- Dodge County Hospital Authority (Dodge County Hospital)
- Dodge County Hospital Authority (Dodge County Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.