Decatur County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

DECATUR COUNTY BOARD OF HEALTH

Practice address

928 S West St
Bainbridge, GA 39819-4581

Phone

(229) 248-3055

Fax

(229) 248-2648

NPI assigned

Oct 28, 2005

Last updated

Oct 23, 2017By 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

Charles D Ruis, MDNPI 1275570715

Title

District Health Director

Phone

(229) 352-4275

Specialties & licenses 1

Addresses

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.

• Charles D Ruis, MD

  • Family Medicine Physician
  • Albany, GA
  • NPI 1275570715
  NPD (past) Authorized official
• Jacqueline H Grant, MD, MPH, MPA

  • Maternal & Fetal Medicine Physician
  • Columbus, GA
  • NPI 1124189600
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1720079874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 S WEST ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194581",
            "telephone_number": "229-248-3055",
            "fax_number": "229-248-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 S WEST ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194581",
            "telephone_number": "229-248-3055",
            "fax_number": "229-248-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "RUIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DISTRICT HEALTH DIRECTOR",
        "authorized_official_telephone_number": "229-352-4275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Curry, FNP-BC
• Breanna Lynn Darley, FNP-C
• Darrell W. Carpenter, MD PC
• Decatur County Board of Commissioners (Decatur County EMS)
• Decatur County Board of Education
• Decatur County School System
• Decatur Emergency Physicians LLC
• Decatur Opco LLC (Riverside Place Personal Care Home)
• Leslie Ann Dellenbarger, PSY.D.
• Deseree Broddie

• Public Health or Welfare Agency in Bainbridge, GA
• Providers in Bainbridge, 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 Oct 23, 2017; 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.