County of Hancock Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF HANCOCK HEALTH DEPARTMENT

Practice address

516 Boland St
Sparta, GA 31087-2045

Phone

(706) 444-6616

Fax

(706) 444-5647

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Danielle McNair

Title

Authorized Official

Phone

(478) 751-6303

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Hancock County Board of Health Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Kim Cook, MD

  • Public Health & General Preventive Medicine Physician
  • Warner Robins, GA
  • NPI 1104710185

  GA

  Medicare reassignment NPD
• Thomas E Craft, M.D.

  • Family Medicine Physician
  • Dublin, GA
  • NPI 1518950310

  GA

  Medicare reassignment NPD
• Tarem Eric Hendricks, DMD

  • General Practice Dentistry
  • Warner Robins, GA
  • NPI 1093882136
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1760490296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 2ND ST STE 1100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016328",
            "telephone_number": "478-297-5190",
            "fax_number": "478-751-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BOLAND ST",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310872045",
            "telephone_number": "706-444-6616",
            "fax_number": "706-444-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HANCOCK HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "478-751-6303"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00460336E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456541J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00733147A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00051961E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock County Board of Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hancock County Board of Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• April Loraine Bryant, R.N.
• Lashonda R. Chapple
• Betsy Janice Colquitt, FNP-C
• Community Health Care Systems, Inc
• Community Health Care Systems, Inc.
• CRM of Sparta LLC
• Edge of Hope LLC
• Shawn Marie Edgington, LPC, LCDC
• Johnesia Evans, PHLEBOTOMIST
• Family Practice & Surgery LLC

• All providers in Sparta, GA
• Public Health or Welfare Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.