Pierce County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PIERCE COUNTY BOARD OF HEALTH

Practice address

715 Ware St
Blackshear, GA 31516-1723

Phone

(912) 449-2032

Fax

(912) 449-0409

NPI assigned

Jul 1, 2006

Last updated

Aug 9, 2011By 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

Starla Sutton

Title

Pso

Phone

(912) 427-2042

Specialties & licenses 1

Addresses

Other identifiers 5

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, and the practitioner matching its NPPES authorized official.

• Olivia Ruth Gibson, RN/APRN

  • Nurse Practitioner
  • Waycross, GA
  • NPI 1942233762
  NPD (past)
• Rosemarie D Parks, MD

  • Internal Medicine Physician
  • Waycross, GA
  • NPI 1821005554
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1689603979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 WARE ST",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161723",
            "telephone_number": "912-449-2032",
            "fax_number": "912-449-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 WARE ST",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161723",
            "telephone_number": "912-449-2032",
            "fax_number": "912-449-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "STARLA",
        "authorized_official_title_or_position": "PSO",
        "authorized_official_telephone_number": "912-427-2042"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000453098N",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457784N",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000331163B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000442967O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052027M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MTM Pharmacy Consultants of Georgia
• Neighborhood Pediatrics
• Optim Orthopedics, LLC (Optim Orthopedics)
• Felicia Yvette Peach, APC
• Pierce County Board of Education
• Pierce County Commissioner of Roads and Revenues (Pierce County EMS)
• Pierce Family Pharmacy Inc (Pierce Family Health Mart Pharmacy)
• Lynette Powers, CCC-SLP
• Jonathon Michael Pryor, LPC, LPCC
• Reliance Sleep Centers of America Inc (Reliance Sleep Center)

• Public Health or Welfare Agency in Blackshear, GA
• Providers in Blackshear, 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 9, 2011; 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.