Active NPI
Floyd County Health Department
- Public Health or Welfare Agency
- Rome, GA
National Provider Identifier
1881776508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- FLOYD COUNTY HEALTH DEPARTMENT
- Practice address
- 16 E 12TH St SW
Rome, GA 30161-4720 - Phone
- (706) 295-6123
- Fax
- (706) 802-5445
- NPI assigned
- Oct 20, 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
- Dr. Christopher W Sellers, MD
- Title
- District Health Director
- Phone
- (706) 295-6704
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | |||
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Supports Brokerage Agency | 251X00000X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X |
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) 295-6123
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000699234D | Medicaid | GA | |
| 000051829F | Medicaid | GA | |
| 000457751F | Medicaid | GA | |
| 000619605C | Medicaid | GA | |
| 000699234A | Medicaid | GA |
Other names 1
- Floyd County Board of Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060111000048 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6709872245 | Practice locations: Rome, GA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- State or Local Public Health Clinic/Center
- Rome, GA
- NPI 1851432173
6709872245
National Provider Directory
National Provider Directory- Tax ID family
- Floyd County Board of Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- State or Local Public Health Clinic/Center
- Rome, GA
- NPI 1851432173
-
- State or Local Public Health Clinic/Center
- Rome, GA
- NPI 1437681426
Locations
16 E 12th St SW
Rome, GA 30161
Phone (706) 295-6123
315 W 10th St NE
Rome, GA 30165
Phone (706) 234-1334
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Rome, GA
- NPI 1962562207
-
- Family Nurse Practitioner
- Rome, GA
- NPI 1457425795
-
- Family Nurse Practitioner
- Rome, GA
- NPI 1780269704
-
- Specialist
- Chattanooga, TN
- NPI 1669559035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1881776508",
"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": "706-295-6123",
"fax_number": "706-802-5445"
},
{
"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": "706-295-6123",
"fax_number": "706-802-5445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOYD COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "SELLERS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DISTRICT HEALTH DIRECTOR",
"authorized_official_telephone_number": "706-295-6704",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000699234D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000051829F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000457751F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000619605C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000699234A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Floyd County Board of Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rome, GA
- Floyd County Board of Education
- Floyd County Board of Health
- Floyd County Board of Health
- Floyd County Board of Health
- Floyd County Health Department
- Floyd Emergency Physicians, LLC
- Floyd Healthcare Management Inc
- Floyd Healthcare Management Inc
- Floyd Healthcare Management Inc
- Floyd Healthcare Management Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.