Active NPI
Seminole County Board of Health
- Public Health or Welfare Agency
- Donalsonville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- SEMINOLE COUNTY BOARD OF HEALTH
- Practice address
- 904 N Wiley Ave
Donalsonville, GA 39845-1127 - Phone
- (229) 524-2577
- Fax
- (229) 524-8986
- NPI assigned
- Oct 31, 2005
- Last updated
- Oct 23, 2017
- 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
- Charles D Ruis, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | GA | Primary |
Addresses
Primary practice location
904 N Wiley Ave
Donalsonville, GA 39845-1127
Mailing address
904 N Wiley Ave
Donalsonville, GA 39845-1127
Phone (229) 524-2577
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00452933K | Medicaid | GA | |
| 713157393A | Medicaid | GA | |
| 00052049L | Medicaid | GA | |
| 00456475K | 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 |
|---|---|---|---|---|
| O20111205000258 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5395633598 | Practice locations: Donalsonville, GA |
National Provider Directory
National Provider DirectoryLocations
904 N Wiley Ave
Donalsonville, GA 39845
Phone (229) 495-6590
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Albany, GA
- NPI 1275570715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508716800000",
"number": "1851382790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 N WILEY AVE",
"city": "DONALSONVILLE",
"state": "GA",
"postal_code": "398451127",
"telephone_number": "229-524-2577",
"fax_number": "229-524-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 N WILEY AVE",
"city": "DONALSONVILLE",
"state": "GA",
"postal_code": "398451127",
"telephone_number": "229-524-2577",
"fax_number": "229-524-8986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEMINOLE COUNTY BOARD OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-31",
"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": "00452933K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "713157393A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00052049L",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00456475K",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Donalsonville, GA
- Tekoa Meshawn Rogers, FNP
- Ronald E Harrell DDS PC
- Devin Lee Ross, FNP
- Scott and Mary Hartzog, LLC (Seminole Hartzog Pharmacy)
- Seminole County Board of Education
- Seminole County Commisioner of Roads and Revenues (Seminole County EMS)
- Smith Counseling Clinic Inc
- Gary Wayne Smith, PHD
- Southern Sleep Clinics LLC
- Southwest Georgia Healthcare Clinics Inc
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.