Organization Active NPI

Quitman County Board of Health

  • Public Health or Welfare Agency
  • Georgetown, GA
National Provider Identifier
1821025875
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
QUITMAN COUNTY BOARD OF HEALTH
Practice address
105 Main Street
Georgetown, GA 39854
Phone
(229) 334-3697
Fax
(229) 334-4389
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Beverley Townsend, M.D.
Title
Health Director
Phone
(706) 321-6108

Specialties & licenses 1

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

Addresses

Primary practice location

105 Main Street
Georgetown, GA 39854

Mailing address

PO Box 308
Georgetown, GA 39854-0308
Phone (833) 337-1749

Other identifiers 3

IdentifierTypeStateIssuer
00058726JMedicaidGA
00457729MMedicaidGA
00052082JMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101019001559 GA Part B Supplier - Public Health/Welfare Agency 4880887124 Practice locations: Georgetown, GA

National Provider Directory

National Provider Directory

Locations

105 Main St
Georgetown, GA 39854
Phone (229) 334-3697

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1821025875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "GEORGETOWN",
            "state": "GA",
            "postal_code": "398540308",
            "telephone_number": "833-337-1749",
            "fax_number": "229-334-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN STREET",
            "city": "GEORGETOWN",
            "state": "GA",
            "postal_code": "39854",
            "telephone_number": "229-334-3697",
            "fax_number": "229-334-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUITMAN COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "706-321-6108",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00058726J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00457729M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00052082J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.