CLAYTON COUNTY HEALTH DISTRICT
NPI 1104911924
Public Health or Welfare in Jonesboro, GA
About Clayton County Health District NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAYTON COUNTY HEALTH DISTRICT (NPI 1104911924) is a healthcare organization registered as a public health or welfare in Jonesboro, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through February 5, 2028 and lists Lacrecia Wortham, Billing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clayton County Health District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Clayton County Health District, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0678455
Clayton County Health District · Jonesboro, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clayton County Health District's NPI number?
The NPI number for Clayton County Health District is 1104911924. It was assigned to this organization in the NPPES registry on October 4, 2006.
Where is Clayton County Health District located?
Clayton County Health District is located at 1117 Battlecreek Rd, Jonesboro, GA 30236. The listed phone number is (678) 610-7199.
What is Clayton County Health District's specialty?
The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.
Is Clayton County Health District enrolled in Medicare?
Yes. Clayton County Health District is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clayton County Health District?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clayton County Health District, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clayton County Health District hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0678455) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Clayton County Health District accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Clayton County Health District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Clayton County Health District was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clayton County Health District · NPI 1104911924
Public Health or Welfare organization in Jonesboro, Georgia. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1104911924 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Public Health or Welfare · taxonomy 251K00000X
- **Organization subpart:** No
- **Authorized official:** Lacrecia Wortham, BILLING SPECIALIST
## Practice location
- **Address:** 1117 BATTLECREEK RD, Jonesboro, GA 30236-2407
- **Phone:** (678) 610-7199 · **Fax:** (770) 603-4872
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2023
- **Other identifiers:** Medicaid 000051928A (GA); Medicaid 000058528A (GA); Medicaid 000442934A (GA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104911924) · Data from the CMS NPPES public registry.