Active NPI
Quitman County Board of Health
- Public Health or Welfare Agency
- Georgetown, GA
National Provider Identifier
1821025875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00058726J | Medicaid | GA | |
| 00457729M | Medicaid | GA | |
| 00052082J | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101019001559 | GA | Part B Supplier - Public Health/Welfare Agency | 4880887124 | Practice locations: Georgetown, GA |
National Provider Directory
National Provider DirectoryLocations
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.