BUTTS COUNTY BOARD OF HEALTH NPI 1861485765

NPI Information

  • NPI: 1861485765
  • Provider Name: BUTTS COUNTY BOARD OF HEALTH
  • Classification: Clinic/Center - 261QP0905X
  • Specialization: Public Health, State or Local
  • Entity Type: Organization
  • Doing Business As: BUTTS COUNTY HEALTH DEPARTMENT
  • CLIA Number: 11D2245568
  • Address: 463 ERNEST BILES DR
    SUITE A
    JACKSON, GA
    ZIP 30233
  • Phone: (770) 504-2230

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NPI Details

BUTTS COUNTY BOARD OF HEALTH is a public health and state or local clinic center in Jackson, GA. BUTTS COUNTY BOARD OF HEALTH NPI is 1861485765. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Butts County Health Department.

The provider's business location address is:

463 ERNEST BILES DR
SUITE A
JACKSON, GA
ZIP 30233-229
Phone: (770) 504-2230
Fax: (770) 504-2229

The provider's authorized official is Rhonda Ellington .
The authorized official title is Billing Supervisor and has the following contact phone number (706) 298-7732.

The CLIA number assigned to this NPI record is 11D2245568 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 50 mcg/.5 mlbst (HCPCS:0094A)

The enumeration date for this NPI number is 8/25/2005 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2261QP0905XClinic/CenterPublic Health, State or LocalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100456453AMEDICAIDGEORGIA
200644377AMEDICAIDGEORGIA
300052093BMEDICAIDGEORGIA
400784297AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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