BRYAN COUNTY HEALTH DEPARTMENT NPI 1992895122

NPI Information

  • NPI: 1992895122
  • Provider Name: BRYAN COUNTY HEALTH DEPARTMENT
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Address: 430 LEDFORD STREET
    PEMBROKE, GA
    ZIP 31321
  • Phone: (912) 653-4331

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NPI Details

BRYAN COUNTY HEALTH DEPARTMENT is a public health or welfare in Pembroke, GA. BRYAN COUNTY HEALTH DEPARTMENT NPI is 1992895122. The provider is registered as an organization entity type.

The provider's business location address is:

430 LEDFORD STREET
PEMBROKE, GA
ZIP 31321-009
Phone: (912) 653-4331
Fax: (912) 653-4328

The provider's authorized official is Stacy A Cooper .
The authorized official title is District Dept Billing Coordinator and has the following contact phone number (912) 262-2347.

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)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 10/16/2006 and was last updated on 1/6/2015.

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
1251K00000XPublic Health or WelfareYes

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
1000456508AMEDICAIDGEORGIA
2000453219EMEDICAIDGEORGIA
3000457938BMEDICAIDGEORGIA
4000551922AMEDICAIDGEORGIA
5FLU139OTHERGEORGIAMEDICARE NUMBER
6F30716MEDICARE UPINGEORGIA
7000051818BMEDICAIDGEORGIA

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: 11/21/2025

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