Butts County Board of Health

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

BUTTS COUNTY BOARD OF HEALTH

Doing business as

Butts County Health Department

Practice address

463 Ernest Biles Dr
Suite a
Jackson, GA 30233-2229

Phone

(770) 504-2230

Fax

(770) 504-2229

NPI assigned

Aug 25, 2005

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rhonda Ellington

Title

Billing Supervisor

Phone

(706) 298-7732

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Butts County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Beverley Ann Townsend, M.D.

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1497846133
  NPD (past)
• Krystle Jo Whitten, RN

  • Community Health Registered Nurse
  • Jackson, GA
  • NPI 1548114150
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1861485765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 ERNEST BILES DR",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302332229",
            "telephone_number": "770-504-2133",
            "fax_number": "770-504-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 ERNEST BILES DR",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302332229",
            "telephone_number": "770-504-2230",
            "fax_number": "770-504-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTS COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "706-298-7732"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00644377A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456453A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00784297A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00052093B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butts County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Nicole Bolden, NP
• Lynn A Boyles, LCSW
• Heather Elizabeth Brooker, FNP-C
• Jessica Buckholts
• Burning Bush Youth & Family Intervention Center, Inc.
• Butts County Boe
• Angela Michelle Cain, FNP-C
• Carol M. Odegaard, MD, PC
• Central Hospice, LLC
• Dorothy Coleman, CEO

• State or Local Public Health Clinic/Center in Jackson, GA
• Providers in Jackson, GA by specialty
• State or Local Public Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.