Douglas County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

DOUGLAS COUNTY BOARD OF HEALTH

Doing business as

Douglas County Public Health

Practice address

6770 Selman Drive
Douglasville, GA 30134

Phone

(770) 514-2300

Fax

(770) 514-2811

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

James Virgil Moon, CPA

Title

Director of Admin

Phone

(770) 514-2300

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Douglas County Public Health Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Pak Memark, M.D.

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1760563845
  Medicare reassignment NPD
• Jennifer A Jeffers-Smith, APRN

  • Family Nurse Practitioner
  • Marietta, GA
  • NPI 1699744417
  NPD
• Myrlande Jules-Villefranche, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1598012098
  NPD
• Merissa Neshun Royster, FNP-BC

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1669791265
  NPD
• Karl Steinichen, MD

  • Obstetrics Physician
  • Marietta, GA
  • NPI 1568403319
  NPD
• Africa Alvarez-McLeod, M.D.

  • Infectious Disease Physician
  • Baltimore, MD
  • NPI 1033116603
  NPD
• Yvonne Lynnette Carter, MD

  • Infectious Disease Physician
  • Concord, NC
  • NPI 1386788776
  NPD

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1326017062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 SELMAN DRIVE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-514-2300",
            "fax_number": "770-514-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 SELMAN DRIVE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-514-2300",
            "fax_number": "770-514-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "VIRGIL",
        "authorized_official_title_or_position": "DIRECTOR OF ADMIN",
        "authorized_official_telephone_number": "770-514-2300",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000051939B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058616G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456431F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058616D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alethea R. Dix, MPT
• Rejeana L Dobbs-Grannum, RPT
• Alyssa Dorris, RBT
• Douglas Community Services Board
• Douglas County Board of Commissioner
• Douglas County Community Services Board
• Douglas County Community Services Board
• Douglas County Community Services Board
• Douglas County Community Services Board
• Douglas County Dialysis, LLC (Fresenius Medical Care Douglas County)

• Public Health or Welfare Agency in Douglasville, GA
• Providers in Douglasville, 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 Mar 14, 2014; 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.