Calhoun County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CALHOUN COUNTY BOARD OF HEALTH

Practice address

29040 North Bermuda Street
Morgan, GA 39866

Phone

(229) 849-2515

Fax

(229) 849-2701

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Charles D Ruis, MDNPI 1275570715

Title

District Health Drector

Phone

(229) 352-4275

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Charles D Ruis, MD

  • Family Medicine Physician
  • Albany, GA
  • NPI 1275570715
  NPD (past) Authorized official

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1962493890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "MORGAN",
            "state": "GA",
            "postal_code": "398660057",
            "telephone_number": "229-849-2515",
            "fax_number": "229-849-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29040 NORTH BERMUDA STREET",
            "city": "MORGAN",
            "state": "GA",
            "postal_code": "39866",
            "telephone_number": "229-849-2515",
            "fax_number": "229-849-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "RUIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DISTRICT HEALTH DRECTOR",
        "authorized_official_telephone_number": "229-352-4275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00561085A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00052049C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00452933B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456475B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwayne M Ayers, M.D.
• Calhoun County Board of Education
• Calhoun County Commissioner of Roads and Revenues

• All providers in Morgan, GA
• Public Health or Welfare Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.