Jenkins County Authority

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

RHCS001178 Issued in GA

Legal business name

JENKINS COUNTY AUTHORITY

Doing business as

Jenkins County Family Medicine

Practice address

961 East Winthrope Avenue
Millen, GA 30442-1839

Phone

(478) 982-9081

Fax

(478) 982-8843

NPI assigned

Aug 12, 2006

Last updated

Aug 22, 2020By 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

Mr. Alvin Burke

Title

Hospital Administrator

Phone

(478) 982-9081

Specialties & licenses 1

Addresses

Other names 1

• JENKINS COUNTY FAMILY MEDICINE Doing business as

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720090665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 EAST WINTHROPE AVENUE",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304421839",
            "telephone_number": "478-982-9081",
            "fax_number": "478-982-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 EAST WINTHROPE AVENUE",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304421839",
            "telephone_number": "478-982-9081",
            "fax_number": "478-982-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS COUNTY AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "478-982-9081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "RHCS001178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENKINS COUNTY FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hospital Authority of Jenkins County
• Hospital Authority of Jenkins County
• Hospital Authority of Jenkins County
• Hospital Authority of Jenkins County
• Insulinic of Georgia LLC
• Jenkins County Board of Commissioners
• Jenkins County Boe
• Jenkins County Health Department
• Jenkins County Health Department
• Jenkins County Hospital (Jenkins Surgical Associates - Millen)

• Rural Health Clinic/Center in Millen, GA
• Providers in Millen, GA by specialty
• Rural Health Clinic/Center in Georgia

• 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.