NPIMap

Organization Active NPI

Southwest Health District 8-2

  • Public Health or Welfare Agency
  • Albany, GA
National Provider Identifier
1689665689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SOUTHWEST HEALTH DISTRICT 8-2
Practice address
1109 N Jackson St
Albany, GA 31701-2022
Phone
(229) 430-4127
Fax
(229) 430-5143
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jacqueline H Grant, M.D., M.P.H., M.P.A.
Title
District Health Director
Phone
(229) 430-4127

Specialties & licenses 1

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

Addresses

Primary practice location

1109 N Jackson St
Albany, GA 31701-2022

Mailing address

1109 N Jackson St
Albany, GA 31701-2022
Phone (229) 430-4127

Other identifiers 3

IdentifierTypeStateIssuer
00959329AMedicaidGA
00058715AMedicaidGA
00548292AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Southwest Ga Health District 8 Unit 2 BCW4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689665689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 N JACKSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012022",
            "telephone_number": "229-430-4127",
            "fax_number": "229-430-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 N JACKSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012022",
            "telephone_number": "229-430-4127",
            "fax_number": "229-430-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTH DISTRICT 8-2",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DISTRICT HEALTH DIRECTOR",
        "authorized_official_telephone_number": "229-430-4127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H., M.P.A."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00959329A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00058715A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00548292A",
            "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 Aug 22, 2020; 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.