NPIMap

Organization Active NPI

Telfair County Health Department

  • Public Health or Welfare Agency
  • McRae, GA
National Provider Identifier
1548338692
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TELFAIR COUNTY HEALTH DEPARTMENT
Practice address
89 Telfair Ave
MC Rae, GA 31055-2163
Phone
(229) 868-7404
Fax
(229) 868-7245
NPI assigned
Nov 30, 2006
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

89 Telfair Ave
MC Rae, GA 31055-2163

Mailing address

PO Box 328
P.O. Box 328
MC Rae, GA 31055-0328
Phone (229) 868-7404

Other names 1

  • Telfair County Board of Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080418000258 GA Part B Supplier - Public Health/Welfare Agency 0042398810 Practice locations: MC Rae Helena, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

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": "1320883200000",
    "number": "1548338692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "address_2": "P.O. BOX 328",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310550328",
            "telephone_number": "229-868-7404",
            "fax_number": "229-868-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 TELFAIR AVE",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310552163",
            "telephone_number": "229-868-7404",
            "fax_number": "229-868-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELFAIR COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-11-10",
        "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": "Telfair County Board of Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McRae, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.