NPIMap

Organization Active NPI

South Health District

  • Public Health or Welfare Agency
  • Quitman, GA
National Provider Identifier
1831266949
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SOUTH HEALTH DISTRICT
Practice address
500 E Courtland Ave
Quitman, GA 31643-1165
Phone
(229) 263-7585
Fax
(229) 263-5332
NPI assigned
Nov 30, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Allie Pridgen
Title
District Administrator
Phone
(229) 333-5290

Other NPIs on the same Medicare enrollment 13

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

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050825000504 GA Part B Supplier - Mass Immunization (Roster Biller Only) 0648255018 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakeland, GA; Valdosta, GA; Tifton, GA; Statenville, GA; Quitman, GA; Ocilla, GA; Lake Park, GA; Hahira, GA…

National Provider Directory

National Provider Directory
Tax ID family
South Health District (21 organizations share this tax ID)

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

500 E Courtland Ave
Quitman, GA 31643-1165

Mailing address

PO Box 5147
Valdosta, GA 31603-5147
Phone (229) 333-5290

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
000457762LMedicaidGA
335533OtherGAWELLCARE
000052038DMedicaidGA
000452559KMedicaidGA

Other names 1

NPPES NPI Registry
  • Brooks County Board of Health Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2025.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1831266949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5147",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316035147",
            "telephone_number": "229-333-5290",
            "fax_number": "229-333-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E COURTLAND AVE",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316431165",
            "telephone_number": "229-263-7585",
            "fax_number": "229-263-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "229-333-5290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457762L",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "335533",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052038D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000452559K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks County Board of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quitman, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.