Active NPI
Burke County Board of Health
Doing business as Burke County Health Department
- Public Health or Welfare Agency
- Waynesboro, GA
National Provider Identifier
1447200134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- BURKE COUNTY BOARD OF HEALTH
- Doing business as
- Burke County Health Department
- Practice address
- 114 Dogwood Dr
Waynesboro, GA 30830-5446 - Phone
- (706) 554-3456
- Fax
- (706) 554-2944
- NPI assigned
- May 11, 2006
- Last updated
- Mar 5, 2024
- 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
- Lee Ann Donohue, MD
- Title
- District Health Director
- Phone
- (706) 825-6914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
114 Dogwood Dr
Waynesboro, GA 30830-5446
Mailing address
114 Dogwood Dr
Waynesboro, GA 30830-5446
Phone (706) 554-3456
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000453252B | Medicaid | GA | |
| 000456552A | Medicaid | GA | |
| 000573383A | Medicaid | GA | |
| 000456552C | Medicaid | GA | |
| 000676563A | Medicaid | GA | |
| 600000926 | Other | GA | RAILROAD MEDICARE |
| 000051851B | Medicaid | GA |
Other names 1
- BURKE 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 |
|---|---|---|---|---|
| O20161212001249 | GA | Part B Supplier - Public Health/Welfare Agency | 8325029564 |
1 other NPI on this enrollment Practice locations: Waynesboro, GA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Public Health or Welfare Agency
- Waynesboro, GA
- NPI 1477180164
8325029564
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Public Health or Welfare Agency
- Waynesboro, GA
- NPI 1336088384
O20161212001249
National Provider Directory
National Provider Directory- Tax ID family
- Burke County Board of Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Waynesboro, GA
- NPI 1336088384
-
- Public Health or Welfare Agency
- Waynesboro, GA
- NPI 1477180164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709596800000",
"number": "1447200134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 DOGWOOD DR",
"city": "WAYNESBORO",
"state": "GA",
"postal_code": "308305446",
"telephone_number": "706-554-3456",
"fax_number": "706-554-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 DOGWOOD DR",
"city": "WAYNESBORO",
"state": "GA",
"postal_code": "308305446",
"telephone_number": "706-554-3456",
"fax_number": "706-554-2944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURKE COUNTY BOARD OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2024-03-05",
"certification_date": "2024-02-22",
"status": "A",
"authorized_official_last_name": "DONOHUE",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DISTRICT HEALTH DIRECTOR",
"authorized_official_telephone_number": "706-825-6914",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000453252B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000456552A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000573383A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000456552C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000676563A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "600000926",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000051851B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BURKE COUNTY HEALTH DEPARTMENT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BURKE COUNTY HEALTH DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waynesboro, GA
- Debra S Burch, RN
- Burke Apothecary Inc (Burke Apothecary)
- Burke Clinic
- Burke County Board of Commissioners (Burke County Emergency Management Agency)
- Burke County Board of Health
- Burke County Board of Health
- Burke County Emergency Physicians LLC
- Burke County Hospital Authority (Burke Medical Center Health Clinic)
- Burke County Hospital Authority (Burke Medical Center)
- Burke County Hospital Authority (Burke Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.