NPIMap

Organization Active NPI

Floyd County Board of Health

  • State or Local Public Health Clinic/Center
  • Rome, GA
National Provider Identifier
1861533705
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
025271 Issued in GA
Legal business name
FLOYD COUNTY BOARD OF HEALTH
Practice address
16 E 12TH St SW
Rome, GA 30161-4720
Phone
(706) 802-5372
Fax
(706) 802-5357
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Christopher Wade Sellers, M.D.
Title
Medical Director
Phone
(706) 295-6704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 025271 GA Primary

Addresses

Primary practice location

16 E 12TH St SW
Rome, GA 30161-4720

Mailing address

16 E 12TH St SW
Rome, GA 30161-4720
Phone (706) 802-5372

Other identifiers 3

IdentifierTypeStateIssuer
000457751OMedicaidGA
000699234BMedicaidGA
000706373CMedicaidGA

Other names 1

  • Floyd County Teen Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Floyd County Board of Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1861533705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 12TH ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614720",
            "telephone_number": "706-802-5372",
            "fax_number": "706-802-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 12TH ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614720",
            "telephone_number": "706-802-5372",
            "fax_number": "706-802-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-295-6704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "GA",
            "license": "025271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457751O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000699234B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000706373C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floyd County Teen Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.