Fayette County Board of Health

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

FAYETTE COUNTY BOARD OF HEALTH

Practice address

245 Booker Ave Ste a
Fayetteville, GA 30215-2307

Phone

(770) 305-5416

Fax

(770) 305-5422

NPI assigned

Sep 15, 2005

Organization subpart

No

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

Authorized official

Name

Kylie Myhand

Title

Billing Supervisor

Phone

(706) 298-7709

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Fayette County Health Department Doing business as

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.

• Callie Hill, FNP

  • Family Nurse Practitioner
  • Franklin, GA
  • NPI 1508388646
  NPD (past)
• Beverley Ann Townsend, M.D.

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1497846133
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1710972773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BOOKER AVE STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152307",
            "telephone_number": "770-305-5416",
            "fax_number": "770-305-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BOOKER AVE STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152307",
            "telephone_number": "770-305-5416",
            "fax_number": "770-305-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "MYHAND",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "706-298-7709"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456453E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000784352C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052093E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000784352A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456453W",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mattie Mae Farmer Clark, CST/CSFA
• Shamarra Jackson Farmer, RN
• Toniya Marie Farmer, DPT
• Fayette Care Clinic
• Fayette Community Hospital, Inc.
• Fayette Dental Group PC
• Fayette Emergency Group LLC
• Fayette Eye Center PC
• Fayette Hearing Clinic Inc
• Fayette Medical Clinic Optical Shop

• All providers in Fayetteville, GA
• State or Local Public Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.