NORTHEAST HEALTH DISTRICT - EPSDT COUNTY (NPI# 1972628089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972628089 |
| Entity Type | Organization |
| Organization Name | NORTHEAST HEALTH DISTRICT - EPSDT COUNTY |
| Other Organization Name | JACKSON CO HLTH DEPT DIST 10 |
| Practice Address |
623 S Elm St Commerce GA 30529-3208 |
| Practice Telephone | 7063353895 |
| Practice Fax Number | 7063356307 |
| Mailing Telephone | 7063353895 |
| Mailing Fax Number | 7063356307 |
| Enumeration Date | 2007-03-20 |
| 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 |
| 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 | 000051983L | 05 |
| Other Name | Type Code |
|---|---|
| JACKSON CO HLTH DEPT DIST 10 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1841495082 | Northeast Health District - Epsdt County | Clinic/Center | 345 N Harris St, Athens, GA 30601-2411 | 2007-06-18 |
| 1700081940 | Northeast Health District - Epsdt County | Clinic/Center | 15 Porter Street East, Winder, GA 30680 | 2007-06-18 |
| Street Address |
623 S ELM ST |
| City | COMMERCE |
| State | GA |
| Zip Code | 30529-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1477091155 | Joshua W. Upton | Pharmacist | 220 Hwy. 334, Commerce, GA 30529 | 2017-02-02 |
| 1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
| 1104166800 | Ashley Hardigree Brueshaber | Nurse Practitioner | 1935 A Homer Rd, Suite A, Commerce, GA 30529 | 2013-02-18 |
| 1003179946 | Mary Allison Adams | Registered Nurse | 1935 Homer Rd Ste A, Commerce, GA 30529 | 2012-06-15 |
| 1386802155 | Urgent Care Banks Crossing LLC | Pain Medicine | 415 B Pottery Factory Drive, Commerce, GA 30529 | 2008-05-29 |
| 1841468287 | Ingles Markets Inc | Pharmacy | 220 Hwy 334, Commerce, GA 30529 | 2008-02-20 |
| 1548334758 | Advantage Bhs | Clinic/Center | 106 Industrial Pkwy, Commerce, GA 30529 | 2006-11-20 |
| 1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
| 1194805689 | Brian Eugene Vandiver | Physical Therapist | 40095 Us Highway 441, Elite Physical Therapy, Commerce, GA 30529 | 2006-10-17 |
| Find all providers in zip 30529 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 | ||||
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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.