Dooly County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

DOOLY COUNTY BOARD OF HEALTH

Practice address

204 W Union St
Vienna, GA 31092-1056

Phone

(229) 268-4725

Fax

(229) 268-1567

NPI assigned

Jun 17, 2006

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zsolt Koppanyi, M.D.

Title

Health Director

Phone

(706) 321-6300

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1336184076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 COMER AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048725",
            "telephone_number": "706-321-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W UNION ST",
            "city": "VIENNA",
            "state": "GA",
            "postal_code": "310921056",
            "telephone_number": "229-268-4725",
            "fax_number": "229-268-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOOLY COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "KOPPANYI",
        "authorized_official_first_name": "ZSOLT",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "706-321-6300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00453164D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00052082E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00647215A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00457729P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00058726F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kha'Niyah Allen
• Aremnant Healthcare
• Lori Anne Bagwell, CCC-SLP
• Rosa L Borden
• Jalicia Buckholts
• Dooly County Commissioner of Roads and Revenues (Dooly County EMS)
• Dooly County School System
• Forbes Drug Inc (Forbes Drug Company Inc)
• High Cotton Homes, LLC (High Cotton Homes)
• Homecare & Medical Systems of Georgia Inc

• Public Health or Welfare Agency in Vienna, GA
• Providers in Vienna, 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 Nov 14, 2007; 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.