NPIMap

Organization Active NPI

Spalding County Board of Health

  • State or Local Public Health Clinic/Center
  • Griffin, GA
National Provider Identifier
1619059540
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
261QP0905X Issued in GA
Legal business name
SPALDING COUNTY BOARD OF HEALTH
Practice address
1007 Memorial Dr
Griffin, GA 30223-4445
Phone
(770) 467-4740
Fax
(770) 229-3169
NPI assigned
Oct 19, 2006
Reactivated
Nov 20, 2023
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Kylie Myhand
Title
Billing Supervisor
Phone
(706) 298-7709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU
State or Local Public Health Clinic/Center 261QP0905X 261QP0905X GA Primary

Addresses

Primary practice location

1007 Memorial Dr
Griffin, GA 30223-4445

Mailing address

1007 Memorial Dr
Griffin, GA 30223-4445
Phone (770) 229-4247

Other identifiers 5

IdentifierTypeStateIssuer
00461744CMedicaidGA
00453263PMedicaidGA
00052093KMedicaidGA
00456453MMedicaidGA
00784385AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Board of Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1764547200000",
    "number": "1619059540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MEMORIAL DR",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302234445",
            "telephone_number": "770-229-4247",
            "fax_number": "770-229-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MEMORIAL DR",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302234445",
            "telephone_number": "770-467-4740",
            "fax_number": "770-229-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPALDING COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "deactivation_date": "2023-09-13",
        "reactivation_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "MYHAND",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "706-298-7709"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "GA",
            "license": "261QP0905X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00461744C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00453263P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00052093K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456453M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00784385A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.