Gilmer County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

GILMER COUNTY BOARD OF HEALTH

Practice address

28 Southside Church St
Ellijay, GA 30540-5409

Phone

(706) 635-4363

Fax

(706) 276-4363

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Addresses

Other identifiers 4

Other names 1

• Gilmer County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Calita Suzanne Hill, NP

  • Nurse Practitioner
  • Gray, GA
  • NPI 1528295078
  Medicare reassignment NPD
• Bradleigh Dyer-McPherson, FNP

  • Family Nurse Practitioner
  • Ellijay, GA
  • NPI 1154544575
  NPD (past)

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": "1659345627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SOUTHSIDE CHURCH ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405409",
            "telephone_number": "706-635-4363",
            "fax_number": "706-635-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SOUTHSIDE CHURCH ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405409",
            "telephone_number": "706-635-4363",
            "fax_number": "706-276-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMER 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": "000450282D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000480598A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456519D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000051994D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilmer County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gilmer County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia United ABA, LLC
• Georgia Urology, PA
• Brooke Lauren Gibson, COTA/L
• Gilmer County Ambulance Service
• Gilmer County Board of Education
• Kurt Greenwall, M.D.
• Hilda Grindell, LCSW
• Jonathan Mark Grizzell, LPC
• Cynthia P Hall, DMD
• Amanda Hammonds, FNP-C

• Public Health or Welfare Agency in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Public Health or Welfare Agency in Georgia

• 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.