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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000448423A | Medicaid | GA | |
| 00051994E | Medicaid | GA | |
| 000480653A | Medicaid | GA | |
| 000456519E | Medicaid | GA |
Other names 1
- Murray 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 |
|---|---|---|---|---|
| O20070927000650 | GA | Part B Supplier - Public Health/Welfare Agency | 6507854007 | Practice locations: Chatsworth, GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ambulatory Women's Health Care Registered Nurse
- Dalton, GA
- NPI 1104848498
-
- Registered Nurse
- Chatsworth, GA
- NPI 1083568497
-
- Registered Nurse
- Chatsworth, GA
- NPI 1255285656
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
- Jessica Mooningham
- Shana Leigh Morris, D.C.
- Ella Holden Moss
- Mountain View Primary Care Corporation
- Murray County Board of Education
- Murray County Developmental Center, Inc.
- Murray County Memorial Hospital Authority (Murray Medical Center)
- Murray County Memorial Hospital Authority
- Murray Emergency Physicians, LLC
- Murray Internal Medicine, PC
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.