NPIMap

Organization Active NPI

Pickens County Department of Public Health

  • Public Health or Welfare Agency
  • Jasper, GA
National Provider Identifier
1780658757
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PICKENS COUNTY DEPARTMENT OF PUBLIC HEALTH
Doing business as
Pickens County Health Department
Practice address
60 Health Way
Jasper, GA 30143-1912
Phone
(706) 253-2821
Fax
(706) 253-5863
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Ms. Kelli Kinsey, CPB
Title
Billing Supervisor
Phone
(706) 529-5741

Specialties & licenses 1

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

Addresses

Primary practice location

60 Health Way
Jasper, GA 30143-1912

Mailing address

60 Health Way
Jasper, GA 30143-1912
Phone (706) 253-2821

Other identifiers 5

IdentifierTypeStateIssuer
0051994FMedicaidGA
00452911BMedicaidGA
00456519FMedicaidGA
00450282EMedicaidGA
00480642AMedicaidGA

Other names 1

  • Pickens County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000506 GA Part B Supplier - Mass Immunization (Roster Biller Only) 8325213648 Practice locations: Jasper, GA

National Provider Directory

National Provider Directory

Locations

60 Health Way
Jasper, GA 30143
Phone (706) 253-2821

Practitioners & affiliated clinicians

Practitioners 4

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": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1780658757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HEALTH WAY",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431912",
            "telephone_number": "706-253-2821",
            "fax_number": "706-253-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HEALTH WAY",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431912",
            "telephone_number": "706-253-2821",
            "fax_number": "706-253-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS COUNTY DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "706-529-5741",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPB"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051994F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00452911B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456519F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00450282E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00480642A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pickens County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.