NORTHEAST HEALTH DISTRICT - EPSDT COUNTY


Address: 345 N Harris St, Athens, GA 30601-2411
Phone: 7063896921

NORTHEAST HEALTH DISTRICT - EPSDT COUNTY (NPI# 1841495082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841495082
Entity Type Organization
Organization Name NORTHEAST HEALTH DISTRICT - EPSDT COUNTY
Other Organization Name CLARKE CO HLTH DEPT DIST 10
Practice Address 345 N Harris St
Athens
GA 30601-2411
Practice Telephone 7063896921
Practice Fax Number 7063896897
Mailing Telephone 7063896921
Mailing Fax Number 7063896897
Enumeration Date 2007-06-18
Last Update Date 2017-04-06
Authorized Official Name DR. CLAUDE A BURNETT III (DISTRICT HEALTH DIRECTOR)
Authorized Official Telephone 7065832870
Authorized Official Credential M.D., M.P.H.
Is Organization Subpart Y
Parent Organization Name NORTHEAST HEALTH DISTRICT - EPSDT COUNTY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP0905X Clinic/Center
Specialization: Public Health, State or Local
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 000051983C 05

Other Provider/Organization Names

Other Name Type Code
CLARKE CO HLTH DEPT DIST 10 Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972628089 Northeast Health District - Epsdt County Clinic/Center 623 S Elm St, Commerce, GA 30529-3208 2007-03-20
1093911265 Northeast Health District - Epsdt County Clinic/Center 1031 Apalachee Ave, Greensboro, GA 30642-2710 2007-06-25
1902002173 Northeast Health District - Epsdt County Clinic/Center 305 Union Point Rd, Lexington, GA 30648-2304 2007-06-25
1871799205 Northeast Health District - Epsdt County Clinic/Center 341 Stan Evans Dr, Jefferson, GA 30549-2909 2007-06-22
1235334293 Northeast Health District - Epsdt County Clinic/Center 1424 Highway 98 W, Danielsville, GA 30633-5356 2007-06-19
1417152505 Northeast Health District - Epsdt County Clinic/Center 618 Jones St, Elberton, GA 30635-1985 2007-06-19
1700081940 Northeast Health District - Epsdt County Clinic/Center 15 Porter Street East, Winder, GA 30680 2007-06-18

Office Location

Street Address 345 N HARRIS ST
City ATHENS
State GA
Zip Code 30601-2411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689710923 Clarke County Department of Health Clinic/Center 345 N Harris St, Athens, GA 30601-2411 2007-01-30
1639652365 Whitney Rae Howell Registered Nurse 345 N Harris St, Athens, GA 30601-2411 2018-09-10
1861925323 Clarke County Department of Health Clinic/Center 345 N Harris St, Athens, GA 30601-2411 2017-04-11
1922417583 Gloria D'laine Caldwell Nurse Practitioner 345 N Harris St, Athens, GA 30601-2411 2014-08-07
1275941429 Sallie Elane Fitzpatrick Registered Nurse 345 N Harris St, Athens, GA 30601-2411 2014-07-31
1225469174 Julia Behr Nurse Practitioner 345 N Harris St, Suite 100, Athens, GA 30601-2411 2013-12-03
1750625620 Sarah Pair Nurse Practitioner 345 N Harris St, Athens, GA 30601 2012-11-16
1396956892 Marion Boyd Dietitian, Registered 345 N Harris St, Athens, GA 30601-2411 2007-05-25
1609901198 Claude A Burnett IIi Preventive Medicine 345 N Harris St, Athens, GA 30601-2411 2007-02-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154971679 Classic City Counseling & Consultation LLC Psychologist 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 2019-09-17
1982172433 Smith Dental Care of Athens Inc. Clinic/Center 801 Us Highway 29 North, Athens, GA 30601 2018-11-02
1356865935 Elizabeth Anne Price Pharmacist 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 2017-07-26
1386011575 Janna Barham Cleveland Nurse Practitioner 496 Reese Street, Athens, GA 30601 2015-08-24
1295113769 Brent Dillin Temple Case Manager/Care Coordinator 9249 Highway 29 North, Athens, GA 30601 2015-05-15
1356736417 Brett Magner Family Medicine 855 W Broad St Ste 1, Athens, GA 30601 2015-04-05
1619397478 The Kroger Co Durable Medical Equipment & Medical Supplies 700 Highway 29 N, Athens, GA 30601 2014-04-21
1972921021 Issa Papiss Bagayogo Psychiatry & Neurology 297 Prince Avenue Suite 28a, Athens, GA 30601 2014-04-04
1447682083 Brittany Lynn Lowery Counselor 250 Bray Street, Athens, GA 30601 2013-08-06
1417194135 Carey Kirk Counselor 295 Mles St, Athens, GA 30601 2009-01-16
Find all providers in zip 30601

Taxonomy Information

Taxonomy Code 261QP0905X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Public Health, State or Local

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1689710923 Clarke County Department of Health Clinic/Center 345 N Harris St, Athens, GA 30601-2411 2007-01-30
1831256783 Clarke County Department of Health Clinic/Center 700 Sunset Dr Ste 501, Athens, GA 30606-2288 2007-01-02
1861925323 Clarke County Department of Health Clinic/Center 345 N Harris St, Athens, GA 30601-2411 2017-04-11
1316142169 Clarke County Board-health Clinic/Center 220 Research Dr, Athens, GA 30605-2738 2007-06-20
1073718821 County Family Planning Clinic/Center 220 Research Dr, Athens, GA 30605-2738 2007-06-20

Providers in the same taxonomy and state

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
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
1134266778 Oglethorpe County Health Department Clinic/Center 305 Union Point Rd, Lexington, GA 30648-2304 2007-01-31
1114064177 Morgan County Health Department Clinic/Center 2005 S Main St Ste 200, Madison, GA 30650-2055 2007-01-31
1861539835 Oconee County Health Department Clinic/Center 1060 Experiment Station Rd, Watkinsville, GA 30677-5323 2007-01-31
Find all providers with the same taxonomy

Competitor

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City ATHENS
Zip Code 30601

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Dataset Information

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.

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