Bartow County Board of Health
Organization Active NPI Public Health or Welfare Agency · Cartersville, GA
NPI 1639259245 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1639259245
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- BARTOW COUNTY BOARD OF HEALTH
- Practice address
- 100 Zena Dr
Cartersville, GA 30121-2482 - Phone
- (770) 382-1920
- Fax
- (770) 387-3999
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Gary Voccio, MD
- Title
- Medical Director
- Phone
- (706) 295-6704
Practitioners 8
-
Myra Belcher, RN,CSN,BSN,NP
-
Rebecca Vincent, RD, LD, CLC
-
Kerry Breedlove, RD, LD
-
Cynthia Carter, RN
-
Ashley Lewis Satterfield, APRN, FNP-C
-
Zachary Taylor III, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040421000564 | GA | Part B Supplier - Clinic/Group Practice | 0941296503 | Practice locations: Cartersville, GA |
| O20150219000230 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941296503 | Practice locations: Cartersville, GA |
National Provider Directory
Locations
100 Zena Dr
Cartersville, GA 30121
Phone (770) 382-1920
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
100 Zena Dr
Cartersville, GA 30121-2482
Mailing address
100 Zena Dr
Cartersville, GA 30121-2482
Phone (770) 382-1920
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000452955B | Medicaid | GA | |
| 000457751C | Medicaid | GA | |
| 00051829B | Medicaid | GA | |
| 000619605J | Medicaid | GA | |
| 000699179A | Medicaid | GA |
Other providers in Cartersville, GA
- Allison Barnette
- Lance Douglas Barry
- Leidy Katherine Bartlett
- Sherri Lynn Barton
- Bartow County Board of Education
- Bartow County Health Care Center, Inc
- Bartow County School System
- Bartow County Treasurer
- Bartow Dental Associates,PC
- Bartow Health Access
All providers in Cartersville, GA · Public Health or Welfare Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.