Active NPI
Carroll County Board of Health
Doing business as Carroll County Health Department
- State or Local Public Health Clinic/Center
- Carrollton, GA
National Provider Identifier
1326049289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- CARROLL COUNTY BOARD OF HEALTH
- Doing business as
- Carroll County Health Department
- Practice address
- 1004 Newnan Rd
Carrollton, GA 30116-6428 - Phone
- (770) 836-6667
- Fax
- (770) 836-6722
- NPI assigned
- Aug 2, 2005
- 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
- Kylie Myhand
- Title
- Billing Supervisor
- Phone
- (706) 298-7709
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Public Health or Welfare Agency | 251K00000X | GA | ||
| State or Local Public Health Clinic/Center | 261QP0905X | Primary |
Addresses
Primary practice location
1004 Newnan Rd
Carrollton, GA 30116-6428
Mailing address
1004 Newnan Rd
Carrollton, GA 30116-6428
Phone (770) 836-6667
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00784308A | Medicaid | GA | |
| 00456453C | Medicaid | GA | |
| 00461744B | Medicaid | GA | |
| 00052093C | Medicaid | GA |
Other names 1
- Carroll 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 |
|---|---|---|---|---|
| O20170808003055 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224026844 | Practice locations: Carrollton, GA |
National Provider Directory
National Provider DirectoryLocations
1004 Newnan Rd
Carrollton, GA 30116
Phone (770) 836-6667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764547200000",
"number": "1326049289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 NEWNAN RD",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301166428",
"telephone_number": "770-836-6667",
"fax_number": "770-836-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 NEWNAN RD",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301166428",
"telephone_number": "770-836-6667",
"fax_number": "770-836-6722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARROLL COUNTY BOARD OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A",
"authorized_official_last_name": "MYHAND",
"authorized_official_first_name": "KYLIE",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "706-298-7709"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00784308A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00456453C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00461744B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00052093C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carroll County Health Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Carroll County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, GA
- Carousel Pediatrics, P.C.
- Carpe Diem Behavioral Health LLC (Carpe Diem Intellectus)
- Jolie Montana Gail Carpenter, NP
- Cody Carr
- Carroll Chiropractic Center
- Carroll County Nephrology LLC
- Carroll County Nephrology PC
- Carroll County Neurology (West Georgia Sleep Disorders and Neurology Associates)
- Carroll County Schools
- Carroll County Training Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.