Organization Active NPI

Murray County Board of Health

Doing business as Murray County Health Department

  • Public Health or Welfare Agency
  • Chatsworth, GA
National Provider Identifier
1619941689
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MURRAY COUNTY BOARD OF HEALTH
Doing business as
Murray County Health Department
Practice address
709 Dalton-Ellijay Highway
Chatsworth, GA 30705
Phone
(706) 695-4585
Fax
(706) 695-4587
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Kelli Kinsey
Title
Billing Supervisor
Phone
(706) 529-5757

Specialties & licenses 1

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

Addresses

Primary practice location

709 Dalton-Ellijay Highway
Chatsworth, GA 30705

Mailing address

709 Dalton-Ellijay Highway
Chatsworth, GA 30705
Phone (706) 695-4585

Other identifiers 4

IdentifierTypeStateIssuer
000448423AMedicaidGA
00051994EMedicaidGA
000480653AMedicaidGA
000456519EMedicaidGA

Other names 1

  • Murray 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
O20070927000650 GA Part B Supplier - Public Health/Welfare Agency 6507854007 Practice locations: Chatsworth, GA

National Provider Directory

National Provider Directory

Locations

709 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 370-4700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1619941689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 DALTON-ELLIJAY HIGHWAY",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "30705",
            "telephone_number": "706-695-4585",
            "fax_number": "706-695-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 DALTON-ELLIJAY HIGHWAY",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "30705",
            "telephone_number": "706-695-4585",
            "fax_number": "706-695-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "706-529-5757"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000448423A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00051994E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000480653A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456519E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murray County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Murray County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.