Organization Active NPI

Chattooga County Board of Health

Doing business as Chattooga County Health Department

  • Public Health or Welfare Agency
  • Summerville, GA
National Provider Identifier
1619059086
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
025271 Issued in GA
Legal business name
CHATTOOGA COUNTY BOARD OF HEALTH
Doing business as
Chattooga County Health Department
Practice address
60 Farrar Dr
Summerville, GA 30747-2013
Phone
(706) 857-3471
Fax
(706) 857-6941
NPI assigned
Oct 19, 2006
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Gary Edward VoccioNPI 1538224589
Title
Medical Director
Phone
(706) 295-6704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 025271 GA Primary

Addresses

Primary practice location

60 Farrar Dr
Summerville, GA 30747-2013

Mailing address

60 Farrar Dr
Summerville, GA 30747-2013
Phone (706) 857-3471

Other names 1

  • Chattooga 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
O20160406002231 GA Part B Supplier - Mass Immunization (Roster Biller Only) 7517866932 Practice locations: Summerville, GA

National Provider Directory

National Provider Directory

Locations

60 Farrar Dr
Summerville, GA 30747
Phone (706) 857-3471

Practitioners & affiliated clinicians

Practitioners 6

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1619059086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FARRAR DR",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307472013",
            "telephone_number": "706-857-3471",
            "fax_number": "706-857-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FARRAR DR",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307472013",
            "telephone_number": "706-857-3471",
            "fax_number": "706-857-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTOOGA COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "VOCCIO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-295-6704"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": "025271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chattooga County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.