Organization Active NPI

Chattahoochee Board of Health

  • Public Health or Welfare Agency
  • Cusseta, GA
National Provider Identifier
1700840501
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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)CodeLicenseStatePrimary
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 GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.