Organization Active NPI

Meriwether County Board of Health

  • Public Health or Welfare Agency
  • Greenville, GA
National Provider Identifier
1598733255
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
REF000026462 Issued in GA
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

Updated by the provider on Oct 30, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000784363AMedicaidGA
00456453JMedicaidGA
00784363AMedicaidGA
300022929AMedicaidGA
003112511JMedicaidGA
00456453KMedicaidGA
00519054AMedicaidGA
00663495AMedicaidGA
300022929EMedicaidGA
00052093IMedicaidGA

Other names 1

  • Meriwether County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.