Hart County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

HART COUNTY BOARD OF HEALTH

Practice address

64 Reynolds Street
Hartwell, GA 30643

Phone

(706) 376-5117

NPI assigned

Oct 2, 2006

Last updated

Jan 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Hicks

Title

Office Manager

Phone

(706) 376-5117

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• District2 Public Health Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• David Donalson, RN

  • Administrator Registered Nurse
  • Hartwell, GA
  • NPI 1144561341
  NPD (past)
• Sydney A Jordan, RN

  • Community Health Registered Nurse
  • Hartwell, GA
  • NPI 1770838278
  NPD (past)
• Erin Elizabeth Moon, R.N.

  • Community Health Registered Nurse
  • Hartwell, GA
  • NPI 1366584757
  NPD (past)
• Zachary Taylor III, M.D.

  • Public Health & General Preventive Medicine Physician
  • Dalton, GA
  • NPI 1134597057
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1669565172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 REYNOLDS STREET",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "30643",
            "telephone_number": "706-376-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 REYNOLDS STREET",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "30643",
            "telephone_number": "706-376-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HART COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-376-5117",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000442945I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00058638A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000285535E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00649437D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00051972H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456442G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "District2 Public Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Gordon, M.D.
• Sam C Grizzle, DDS
• Crystal Ashley Hamilton, LCSW
• Mouhammad Samer Hamwy, M.D.
• Hart Care Center Inc
• Hart County Emergency Medical Service
• Hart County Health & Rehabilitation, LLC (Hartwell Health and Rehabilitation)
• Hart County Internal Medicine, LLC
• Hart County School System
• Hartwell Chiropractic Clinic

• Public Health or Welfare Agency in Hartwell, GA
• Providers in Hartwell, 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 Jan 26, 2018; 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.