Active NPI
Meriwether County Board of Health
- Public Health or Welfare Agency
- Greenville, GA
National Provider Identifier
1598733255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- REF000026462
- Legal business name
- MERIWETHER COUNTY BOARD OF HEALTH
- Practice address
- 51 Gay Connector
Greenville, GA 30222-3339 - Phone
- (706) 672-4974
- Fax
- (706) 672-1065
- NPI assigned
- Mar 9, 2006
- 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
- Rhonda Ellington
- Title
- Billing Supervisor
- Phone
- (706) 298-7732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | REF000026462 | GA | Primary |
Addresses
Primary practice location
51 Gay Connector
Greenville, GA 30222-3339
Mailing address
51 Gay Connector
Greenville, GA 30222-3339
Phone (706) 672-4974
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000784363A | Medicaid | GA | |
| 00456453J | Medicaid | GA | |
| 00784363A | Medicaid | GA | |
| 300022929A | Medicaid | GA | |
| 003112511J | Medicaid | GA | |
| 00456453K | Medicaid | GA | |
| 00519054A | Medicaid | GA | |
| 00663495A | Medicaid | GA | |
| 300022929E | Medicaid | GA | |
| 00052093I | Medicaid | GA |
Other names 1
- Meriwether 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 |
|---|---|---|---|---|
| O20080618000541 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1951472919 | Practice locations: Greenville, GA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
51 Gay CNTR Rd
Greenville, GA 30222
Phone (706) 672-4974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1598733255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 GAY CONNECTOR",
"city": "GREENVILLE",
"state": "GA",
"postal_code": "302223339",
"telephone_number": "706-672-4974",
"fax_number": "706-672-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 GAY CONNECTOR",
"city": "GREENVILLE",
"state": "GA",
"postal_code": "302223339",
"telephone_number": "706-672-4974",
"fax_number": "706-672-1065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIWETHER COUNTY BOARD OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-09",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "ELLINGTON",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "706-298-7732"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "GA",
"license": "REF000026462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000784363A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00456453J",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00784363A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300022929A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003112511J",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00456453K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00519054A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00663495A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300022929E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00052093I",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Meriwether County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.