MORGAN COUNTY HEALTH DEPARTMENT (NPI# 1114064177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114064177 |
| Entity Type | Organization |
| Organization Name | MORGAN COUNTY HEALTH DEPARTMENT |
| Other Organization Name | MORGAN COUNTY BOARD OF HEALTH |
| Practice Address |
2005 S Main St Ste 200 Madison GA 30650-2055 |
| Practice Telephone | 7067521266 |
| Practice Fax Number | 7067520286 |
| Mailing Telephone | 7067521266 |
| Mailing Fax Number | 7067520286 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | CLAUDE A BURNETT III (DISTRICT HEALTH DIRECTOR) |
| Authorized Official Telephone | 7065832870 |
| Authorized Official Credential | M.D., M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE | 339867 | 01 |
| GA | MEDICARE PART B (CAHABA G | FLU163 | 01 |
| GA | BCBS GA | 52053599 | 01 |
| GA | CIGNA | 0823273 | 01 |
| GA | UNITED HEALTHCARE | 140698 | 01 |
| GA | PEACH STATE HEALTH PLAN | 000456574L | 01 |
| GA | AMERIGROUP CORP | 10073786 | 01 |
| GA | 000456574L | 05 |
| Other Name | Type Code |
|---|---|
| Morgan County Board of Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487187944 | Morgan County Health Department | Clinic/Center | 2005 S Main St Ste 200, Madison, GA 30650-2055 | 2017-04-11 |
| Street Address |
2005 S MAIN ST STE 200 |
| City | MADISON |
| State | GA |
| Zip Code | 30650-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487187944 | Morgan County Health Department | Clinic/Center | 2005 S Main St Ste 200, Madison, GA 30650-2055 | 2017-04-11 |
| 1891103206 | Leah Malcom Ainslie | Nurse Practitioner | 2005 S Main St Ste 200, Madison, GA 30650-2055 | 2014-07-29 |
| 1205031267 | Northeast Health District - Epsdt | Clinic/Center | 2005 S Main St Ste 200, Madison, GA 30650-2055 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
| 1942791470 | Kristin Barnett | Social Worker | 256 W Washingtonst, Madison, GA 30650 | 2018-05-21 |
| 1710474275 | M S Publishing and Consulting LLC | Counselor | 256 W. Washiington Street, Madison, GA 30650 | 2018-04-19 |
| 1558818013 | Whitney Rena Walker | Technician | 778 Cooks Hill Rd, Madison, GA 30650 | 2016-09-01 |
| 1023366739 | Xcalibur | Durable Medical Equipment & Medical Supplies | 1071 Hanover Dr, Madison, GA 30650 | 2012-08-28 |
| 1629392170 | Tammy W Rustin | Pharmacist | 1441 Eatonton Rd, Ingles Pharmacy #444, Madison, GA 30650 | 2010-03-25 |
| 1861534463 | John Frederick Mcnees II | Optometrist | 173 So Main St, Madison, GA 30650 | 2007-02-12 |
| 1780746750 | Jacqueline Lamar Gruszynski | Speech-Language Pathologist | 1760 Westminister Way, Madison, GA 30650 | 2006-12-15 |
| 1003917535 | Marilyn S Snow | Counselor | 256 W Washington St, Madison, GA 30650 | 2006-09-26 |
| Find all providers in zip 30650 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487187944 | Morgan County Health Department | Clinic/Center | 2005 S Main St Ste 200, Madison, GA 30650-2055 | 2017-04-11 |
| 1649520008 | Athlete Pharmacist LLC | Clinic/Center | 211 Nautilus Dr Apt 8, Madison, WI 53705-4358 | 2012-09-13 |
| 1972782167 | Borough of Madison | Clinic/Center | 28 Walnut St, Madison, NJ 07940-1638 | 2007-10-24 |
| 1205031267 | Northeast Health District - Epsdt | Clinic/Center | 2005 S Main St Ste 200, Madison, GA 30650-2055 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972628089 | Northeast Health District - Epsdt County | Clinic/Center | 623 S Elm St, Commerce, GA 30529-3208 | 2007-03-20 |
| 1942324181 | Board of Health Walton County | Clinic/Center | 4385 Pecan St, Loganville, GA 30052-2637 | 2007-03-16 |
| 1831223015 | Clarke County Department of Health | Clinic/Center | 410 Mckinley Dr, Athens, GA 30601-3270 | 2007-03-16 |
| 1396879821 | Clarke County Department of Health | Clinic/Center | 168 Rocksprings Ct, Athens, GA 30606-6372 | 2007-03-15 |
| 1174668255 | Northeast Health District | Clinic/Center | 740 Prince Ave Bldg 15, Athens, GA 30606 | 2007-02-20 |
| 1679614515 | Georgia Department of Human Resources | Clinic/Center | 1309 Redmond Rd Nw, Rome, GA 30165-1307 | 2007-02-12 |
| 1851432173 | Floyd County Health Department | Clinic/Center | 16 East 12th Street, Suite 202, Rome, GA 30161-4720 | 2007-02-09 |
| 1174660187 | Madison County Health Department | Clinic/Center | 1424 Highway 98 W, Danielsville, GA 30633-5356 | 2007-01-31 |
| 1649317686 | Jackson County Health Department | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 2007-01-31 |
| 1063559086 | Greene County Health Department | Clinic/Center | 1031 Apalachee Ave, Greensboro, GA 30642-2710 | 2007-01-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.