NPIMap

Organization Active NPI

Dekalb County Board of Health

  • Public Health or Welfare Agency
  • Decatur, GA
National Provider Identifier
1750481982
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DEKALB COUNTY BOARD OF HEALTH
Practice address
440 Winn Way
Decatur, GA 30030-1715
Phone
(404) 294-3762
Fax
(404) 508-7752
NPI assigned
Sep 25, 2006
Organization subpart
Yes
Parent organization
DEKALB COUNTY BOARD OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Lynn Paxton, MD
Title
District Director/Ceo
Phone
(404) 294-3787

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC0400X GA
Public Health or Welfare Agency 251K00000X Primary
Public Health or Welfare Agency 251K00000X GA
Supports Brokerage Agency 251X00000X GA
Federally Qualified Health Center (FQHC) 261QF0400X GA

Addresses

Primary practice location

440 Winn Way
Decatur, GA 30030-1715

Mailing address

445 Winn Way
PO Box 987
Decatur, GA 30030-1707
Phone (404) 294-3701

Other identifiers 5

IdentifierTypeStateIssuer
000456563HOtherGAMEDICAID--DSPS
000660657COtherGAMEDICAID--FAMILY PLANNING
000453175EOtherGAMEDICAID--PRS
000665145IOtherGAMEDICAID--HEALTHCHECK
000456024COtherGAMEDICAID--PCM

Other names 1

  • TO Vinson Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120106000290 GA Part B Supplier - Mass Immunization (Roster Biller Only) 2163323106 Practice locations: Decatur, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Dekalb County Board

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1750481982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "address_2": "PO BOX 987",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301707",
            "telephone_number": "404-294-3701",
            "fax_number": "404-508-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301715",
            "telephone_number": "404-294-3762",
            "fax_number": "404-508-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB COUNTY BOARD OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEKALB COUNTY BOARD OF HEALTH",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "PAXTON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "DISTRICT DIRECTOR/CEO",
        "authorized_official_telephone_number": "404-294-3787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID--DSPS",
            "identifier": "000456563H",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID--FAMILY PLANNING",
            "identifier": "000660657C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID--PRS",
            "identifier": "000453175E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID--HEALTHCHECK",
            "identifier": "000665145I",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID--PCM",
            "identifier": "000456024C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TO Vinson Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.