Organization Active NPI

Manchester Board of Health

Doing business as Manchester Health Department

  • Public Health or Welfare Agency
  • Manchester, GA
National Provider Identifier
1972658755
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
REF000026462 Issued in GA
Legal business name
MANCHESTER BOARD OF HEALTH
Doing business as
Manchester Health Department
Practice address
300 W Perry St
Manchester, GA 31816-1346
Phone
(706) 846-3353
NPI assigned
Jan 24, 2007
Last updated
Dec 1, 2025By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X REF000026462 GA Primary

Addresses

Primary practice location

300 W Perry St
Manchester, GA 31816-1346

Mailing address

PO Box 373
Manchester, GA 31816-0373
Phone (706) 846-3353

Other identifiers 4

IdentifierTypeStateIssuer
000519054AMedicaidGA
000784363AMedicaidGA
000456453JMedicaidGA
000663495AMedicaidGA

Other names 1

  • Manchester 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
O20111114000618 GA Part B Supplier - Public Health/Welfare Agency 1951472919 Practice locations: Lagrange, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Manchester Board of Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

51 Gay Connector
Greenville, GA 30222
Phone (706) 672-0818

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1972658755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318160373",
            "telephone_number": "706-846-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W PERRY ST",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318161346",
            "telephone_number": "706-846-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "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": "REF000026462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000519054A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000784363A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456453J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000663495A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manchester Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, 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.