NPIMap

Organization Active NPI

Gwinnett County Health Dept

Doing business as Centerville Health Department

  • Public Health or Welfare Agency
  • Snellville, GA
National Provider Identifier
1932934593
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GWINNETT COUNTY HEALTH DEPT
Doing business as
Centerville Health Department
Practice address
3025 Bethany Church Rd
Snellville, GA 30039-6109
Phone
(770) 339-4260
Fax
(866) 359-1351
NPI assigned
Sep 4, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Joseph Sternberg
Title
Coo
Phone
(678) 376-3217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

3025 Bethany Church Rd
Snellville, GA 30039-6109

Mailing address

PO Box 897
Lawrenceville, GA 30046-0897
Phone (703) 394-2607

Other names 1

  • CENTERVILLE 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
O20111114000567 GA Part B Supplier - Public Health/Welfare Agency 5799959557 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lawrenceville, GA; Snellville, GA; Norcross, GA; Buford, GA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
County of Gwinnett Heal7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2570 Riverside Pkwy
Lawrenceville, GA 30046
Phone (678) 442-6884

3025 Bethany Church Rd
Snellville, GA 30039
Phone (770) 339-4260

3025 Bethany Church Rd
Ste 2400
Snellville, GA 30039
Phone (770) 962-4295

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1932934593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300460897",
            "telephone_number": "703-394-2607",
            "fax_number": "866-359-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BETHANY CHURCH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396109",
            "telephone_number": "770-339-4260",
            "fax_number": "866-359-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "STERNBERG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-376-3217"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERVILLE HEALTH DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.