Organization Active NPI

Thomas County Board of Health

  • Public Health or Welfare Agency
  • Thomasville, GA
National Provider Identifier
1770574584
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
THOMAS COUNTY BOARD OF HEALTH
Practice address
484 Smith Ave
Thomasville, GA 31792-5535
Phone
(229) 226-4241
Fax
(229) 226-5144
NPI assigned
Nov 1, 2005
Last updated
Oct 23, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST GEORGIA HEALTH DISTRICT 8-2As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X GA Primary

Addresses

Primary practice location

484 Smith Ave
Thomasville, GA 31792-5535

Mailing address

PO Box 148
Thomasville, GA 31799-0148
Phone (229) 226-4241

Other identifiers 5

IdentifierTypeStateIssuer
000452933MMedicaidGA
00456475MMedicaidGA
860975978AMedicaidGA
00442879DMedicaidGA
00052049NMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090808000095 GA Part B Supplier - Mass Immunization (Roster Biller Only) 7416033931 Practice locations: Thomasville, GA

National Provider Directory

National Provider Directory
Part of
Southwest Ga Health District 8 Unit 2 CMS

Locations

484 Smith Ave
Thomasville, GA 31792
Phone (229) 226-4241

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1770574584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317990148",
            "telephone_number": "229-226-4241",
            "fax_number": "229-379-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925535",
            "telephone_number": "229-226-4241",
            "fax_number": "229-226-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS COUNTY BOARD OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST GEORGIA HEALTH DISTRICT 8-2",
        "enumeration_date": "2005-11-01",
        "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": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000452933M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456475M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "860975978A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00442879D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00052049N",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • 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.