Active NPI
Chattahoochee Board of Health
- Public Health or Welfare Agency
- Cusseta, GA
National Provider Identifier
1700840501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- CHATTAHOOCHEE BOARD OF HEALTH
- Practice address
- 213 McNaughton St
Cusseta, GA 31805-3013 - Phone
- (706) 989-3663
- Fax
- (706) 989-1243
- NPI assigned
- Apr 17, 2006
- Last updated
- Jan 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zsolt Koppanyi, M.D.
- Title
- Health Director
- Phone
- (706) 321-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
213 McNaughton St
Cusseta, GA 31805-3013
Mailing address
2100 Comer Ave
Columbus, GA 31904-8725
Phone (706) 321-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000594 | GA | Part B Supplier - Public Health/Welfare Agency | 1850286550 | Practice locations: Cusseta, GA |
| O20150401001011 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850286550 | Practice locations: Cusseta, GA |
National Provider Directory
National Provider DirectoryLocations
213 McNaughton St
Cusseta, GA 31805
Phone (706) 989-3663
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Women's Health Nurse Practitioner
- Cusseta, GA
- NPI 1972646669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264636800000",
"number": "1700840501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 COMER AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048725",
"telephone_number": "706-321-6300",
"fax_number": "706-321-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 MCNAUGHTON ST",
"city": "CUSSETA",
"state": "GA",
"postal_code": "318053013",
"telephone_number": "706-989-3663",
"fax_number": "706-989-1243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATTAHOOCHEE BOARD OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-17",
"last_updated": "2010-01-28",
"status": "A",
"authorized_official_last_name": "KOPPANYI",
"authorized_official_first_name": "ZSOLT",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "706-321-6300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cusseta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.