Wayne County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

WAYNE COUNTY BOARD OF HEALTH

Practice address

162 Memorial Dr
Jesup, GA 31545-0101

Phone

(912) 588-2511

Fax

(912) 588-2518

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Starla Sutton

Title

Pso

Phone

(912) 338-5263

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wayne Wellness Center Other name

Tax ID family

Wayne County Board of Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wayne County Board of Health

  • Public Health or Welfare Agency
  • Jesup, GA
  • NPI 1801825021
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Winnie Claire Hicks, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Flat Rock, NC
  • NPI 1326076787
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1962431189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315980997",
            "telephone_number": "912-588-2511",
            "fax_number": "912-558-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MEMORIAL DR",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450101",
            "telephone_number": "912-588-2511",
            "fax_number": "912-588-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "STARLA",
        "authorized_official_title_or_position": "PSO",
        "authorized_official_telephone_number": "912-338-5263"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000808736A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000808376B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wayne Behavorial Health Services
• Wayne County Ambulance Service
• Wayne County Anesthesia Associates PC
• Wayne County Board of Education
• Wayne County Board of Health
• Wayne Emergency Group LLC
• Wayne ENT Associates
• Wayne Family Vision, P.C.
• Wayne Memorial Hospital Pharmacy Retail
• Wayne SJC Medical Group, LLC

• Public Health or Welfare Agency in Jesup, GA
• Providers in Jesup, GA by specialty
• Public Health or Welfare Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.