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LONG COUNTY HEALTH DEPARTMENT
NPI 1174506737
Public Health or Welfare in Ludowici, GA

Active since November 28, 2005
584 N MACON ST, LUDOWICI, GA 31316(912) 545-2107(912) 545-2112 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Long County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG COUNTY HEALTH DEPARTMENT (NPI 1174506737) is a healthcare organization registered as a public health or welfare in Ludowici, Georgia and active in the NPI registry since November 2005. The organization lists Stacy A Cooper, District Billing Dept Coordinator, as its authorized official.

NPPES Registry Identity

NPI1174506737
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameLONG COUNTY BOARD OF HEALTH
Location Address584 N MACON STLudowici, GA 31316-5958
Mailing Address150 Scranton ConnectorBrunswick, GA 31525-0540 · (912) 262-2347 · Fax (912) 262-3036
Phone(912) 545-2107
Fax(912) 545-2112
Organization SubpartNo
Authorized OfficialStacy A CooperDistrict Billing Dept Coordinator · (912) 262-2347
Enumeration DateNovember 28, 2005
Last NPPES UpdateJanuary 7, 2015
✔ NPI 1174506737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
584 N MACON ST, Ludowici, GA 31316
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Other Names 1

Doing Business AsLong County Health Department

Other Identifiers 6

Medicaid000051818HGA
Medicare UPINF30716GA
Medicaid000551878AGA
OtherFLU147GA · Medicare Id
Medicaid000051818FGA
Medicaid000457938EGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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)

Long County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Long County Health Department, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Angela Hartley, APRN, FNP-C
Nurse Practitioner
NPI 1184027369
584 N MACON ST
Ludowici, GA 31316
(912) 545-2107
✔ PECOSSame address
Bonzo Reddick, M.D.
Family Practice
NPI 1568575041
1107 E 66TH ST
Savannah, GA 31404
(912) 350-8404
✔ PECOS44 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Long County Board Of Health's NPI number?

The NPI number for Long County Board Of Health is 1174506737. It was assigned to this organization in the NPPES registry on November 28, 2005. The provider is doing business as Long County Health Department.

Where is Long County Board Of Health located?

Long County Board Of Health is located at 584 N Macon St, Ludowici, GA 31316. The listed phone number is (912) 545-2107.

What is Long County Board Of Health's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Is Long County Board Of Health enrolled in Medicare?

Yes. Long County Board Of Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long County Board Of Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Long County Board Of Health, 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Long County Board Of Health accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Long County Board Of Health 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 Long County Board Of Health was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.