Organization Active NPI

Upson County Board of Health

  • State or Local Public Health Clinic/Center
  • Thomaston, GA
National Provider Identifier
1891859252
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
UPSON COUNTY BOARD OF HEALTH
Practice address
314 E Lee St
Thomaston, GA 30286-4122
Phone
(706) 647-7148
Fax
(706) 647-3372
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Kylie Myhand
Title
Billing Supervisor
Phone
(706) 298-7709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X GA
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

314 E Lee St
Thomaston, GA 30286-4122

Mailing address

314 E Lee St
Thomaston, GA 30286-4122
Phone (706) 647-7148

Other identifiers 4

IdentifierTypeStateIssuer
00784341AMedicaidGA
00456453QMedicaidGA
00052093MMedicaidGA
00643288AMedicaidGA

Other names 1

  • Upson County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000566 GA Part B Supplier - Public Health/Welfare Agency 2668550740 Practice locations: Thomaston, GA

National Provider Directory

National Provider Directory

Locations

314 E Lee St
Thomaston, GA 30286
Phone (706) 298-7715

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1891859252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E LEE ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302864122",
            "telephone_number": "706-647-7148",
            "fax_number": "706-647-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E LEE ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302864122",
            "telephone_number": "706-647-7148",
            "fax_number": "706-647-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSON COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "MYHAND",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "706-298-7709"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00784341A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456453Q",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00052093M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00643288A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upson County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomaston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.