NPIMap

Organization Active NPI

Southwest Ga Health District 8 Unit 2 HIV AIDS

  • Public Health or Welfare Agency
  • Albany, GA
National Provider Identifier
1679627269
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SOUTHWEST GA HEALTH DISTRICT 8 UNIT 2 HIV AIDS
Practice address
1710 S Slappey Blvd
Albany, GA 31701-2634
Phone
(229) 430-5140
Fax
(229) 430-5142
NPI assigned
Jan 22, 2007
Last updated
Jun 25, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST GA HEALTH DISTRICT 8 UNIT 2As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Trish Johnson
Title
Billing and Collections Manager
Phone
(229) 758-3359

Specialties & licenses 1

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

Addresses

Primary practice location

1710 S Slappey Blvd
Albany, GA 31701-2634

Mailing address

PO Box 3048
1710 South Slappey Blvd
Albany, GA 31706-3048
Phone (229) 430-5140

Other identifiers 1

IdentifierTypeStateIssuer
000551614AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Southwest Ga Health District 8 Unit 2 CMS4 organizations share this tax ID, including this one
Part of
Southwest Ga Health District 8 Unit 2 CMS

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1679627269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3048",
            "address_2": "1710 SOUTH SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317063048",
            "telephone_number": "229-430-5140",
            "fax_number": "229-430-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012634",
            "telephone_number": "229-430-5140",
            "fax_number": "229-430-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST GA HEALTH DISTRICT 8 UNIT 2 HIV AIDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST GA HEALTH DISTRICT 8 UNIT 2",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "BILLING AND COLLECTIONS MANAGER",
        "authorized_official_telephone_number": "229-758-3359"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000551614A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.