Active NPI
Wilkinson County Health Department
- Public Health or Welfare Agency
- Irwinton, GA
National Provider Identifier
1891879748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- WILKINSON COUNTY HEALTH DEPARTMENT
- Practice address
- 123 High Hill St
Irwinton, GA 31042-2611 - Phone
- (478) 946-2226
- Fax
- (479) 946-2043
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 23, 2024
- 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
- Danielle McNair
- Title
- Authorized Official
- Phone
- (478) 751-6303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
123 High Hill St
Irwinton, GA 31042-2611
Mailing address
201 2ND St Ste 1100
Macon, GA 31201-6328
Phone (478) 297-5190
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00460336N | Medicaid | GA | |
| 00731772A | Medicaid | GA | |
| 00456541A | Medicaid | GA | |
| 00051961P | Medicaid | GA |
Other names 1
- Wilkinson 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 |
|---|---|---|---|---|
| O20120411000720 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3870754278 | Practice locations: Irwinton, GA |
National Provider Directory
National Provider DirectoryPractitioners & 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
- Dublin, GA
- NPI 1518950310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1891879748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 2ND ST STE 1100",
"city": "MACON",
"state": "GA",
"postal_code": "312016328",
"telephone_number": "478-297-5190",
"fax_number": "478-751-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 HIGH HILL ST",
"city": "IRWINTON",
"state": "GA",
"postal_code": "310422611",
"telephone_number": "478-946-2226",
"fax_number": "479-946-2043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILKINSON COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "MCNAIR",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "478-751-6303"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00460336N",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00731772A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00456541A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00051961P",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilkinson County Board of Health",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Wilkinson County Board of Health",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Irwinton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.