BOARD OF HEALTH WALTON COUNTY (NPI# 1942324181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942324181 |
| Entity Type | Organization |
| Organization Name | BOARD OF HEALTH WALTON COUNTY |
| Other Organization Name | WEST WALTON HEALTH CLINIC |
| Practice Address |
4385 Pecan St Loganville GA 30052-2637 |
| Practice Telephone | 7704661789 |
| Practice Fax Number | 7704661321 |
| Mailing Telephone | 7704661789 |
| Mailing Fax Number | 7704661321 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-04-26 |
| 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 | Y |
| Parent Organization Name | BOARD OF HEALTH WALTON COUNTY |
| 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 Name | Type Code |
|---|---|
| Loganville Health Department | Other Name - Individual/Organization |
| West Walton Health Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811420375 | Board of Health Walton County | Clinic/Center | 1404 S Madison Ave, Monroe, GA 30655-2816 | 2017-04-11 |
| 1619014529 | Board of Health Walton County | Clinic/Center | 1404 S Madison Ave, Monroe, GA 30655-2816 | 2007-01-31 |
| Street Address |
4385 PECAN ST |
| City | LOGANVILLE |
| State | GA |
| Zip Code | 30052-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
| 1184285025 | Felicia Maria Anderson | Counselor | 272 Fox Run, Loganville, GA 30052 | 2019-06-21 |
| 1225502768 | Jackie Kabahuma Zziwa | Registered Nurse | 4072 Atlanta High Way, Loganville, GA 30052 | 2019-01-17 |
| 1598243024 | Afolasade A Adeyemo | In Home Supportive Care | 154 Towler Shoals Dr, Loganville, GA 30052 | 2018-08-06 |
| 1831688654 | Julia Smith | Physician Assistant | 2745 Loganville Hwy, Loganville, GA 30052 | 2018-05-07 |
| 1306335534 | Emily Jannine Jamshedi | Physician Assistant | 3461 Skyland Ridge Ct, Loganville, GA 30052 | 2018-05-03 |
| 1346738655 | Laura Martha Avila | Nurse Practitioner | 221 The Esplanade Way Se, Loganville, GA 30052 | 2018-04-23 |
| 1942738901 | Local Dental Partners, LLC | Clinic/Center | 4353 Atlanta Highway Suite. 300, Loganville, GA 30052 | 2017-06-02 |
| 1649702804 | Cynthia Reeves | Counselor | 4160 Logan Drive, Loganville, GA 30052 | 2017-03-28 |
| 1689049330 | Samuel S Kwon - Loganville Dmd PC | Dentist | 2101 Baker Carter Drive, Suite 200, Loganville, GA 30052 | 2015-12-07 |
| Find all providers in zip 30052 | ||||
| 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 |
|---|---|---|---|---|
| 1972628089 | Northeast Health District - Epsdt County | Clinic/Center | 623 S Elm St, Commerce, GA 30529-3208 | 2007-03-20 |
| 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 |
| 1134266778 | Oglethorpe County Health Department | Clinic/Center | 305 Union Point Rd, Lexington, GA 30648-2304 | 2007-01-31 |
| Find all providers with the same taxonomy | ||||
| City | LOGANVILLE |
| Zip Code | 30052 |
Please comment or provide details below to improve the information on BOARD OF HEALTH WALTON COUNTY.
| 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.