Tattnall County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

TATTNALL COUNTY BOARD OF HEALTH

Doing business as

Tattnall County Health Department-Glennville

Practice address

1000 N Veterans Blvd
Glennville, GA 30427-8603

Phone

(912) 654-5290

Fax

(912) 654-5293

NPI assigned

Jun 20, 2006

Last updated

Aug 19, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

TATTNALL COUNTY BOARD OF HEALTHAs reported in NPPES

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

Authorized official

Name

Starla Sutton

Title

Pso

Phone

(912) 427-2042

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Tattnall County Health Department-Glennville Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tattnall County Board of Health

  dba Tattnall County Health Department-Reidsville

  • Public Health or Welfare Agency
  • Reidsville, GA
  • NPI 1811926116

  O20151105001123

  Same enrollment

Part of

Tattnall Cnty Board of HLTH

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tattnall County Board of Health

  dba Tattnall County Health Department-Reidsville

  • Public Health or Welfare Agency
  • Reidsville, GA
  • NPI 1811926116
  NPPES parent name

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1770528804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304270353",
            "telephone_number": "912-654-5290",
            "fax_number": "912-654-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N VETERANS BLVD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304278603",
            "telephone_number": "912-654-5290",
            "fax_number": "912-654-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATTNALL COUNTY BOARD OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TATTNALL COUNTY BOARD OF HEALTH",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "STARLA",
        "authorized_official_title_or_position": "PSO",
        "authorized_official_telephone_number": "912-427-2042"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052027X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457784O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000442967Q",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000453098P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000770648B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tattnall County Health Department-Glennville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stepping Stones Family Wellness Center, LLC
• Strickland's Pharmacy, Inc.
• Shawna Sturges Strub, OD
• Sutton Place (Dylantess Inc)
• Pamela Swain
• Tattnall Healthcare LLC (Tattnall Primary Care)
• Tattnall Healthcare LLC. (Glenville Medical Clinic)
• Tattnall Hospital Company, LLC (Optim Primary Care- Glennville)
• Leeanne Dubois Taylor
• Thompson Medical Associates, LLC

• Public Health or Welfare Agency in Glennville, GA
• Providers in Glennville, 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 Aug 19, 2011; 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.