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MITCHELL COUNTY BOARD OF HEALTTH
NPI 1184615122
Public Health or Welfare in Camilla, GA

Active since October 31, 2005
88 W OAKLAND AVE, CAMILLA, GA 31730(229) 336-2055(229) 336-1100 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mitchell County Board Of Healtth NPPES

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

MITCHELL COUNTY BOARD OF HEALTTH (NPI 1184615122) is a healthcare organization registered as a public health or welfare in Camilla, Georgia and active in the NPI registry since October 2005. The organization lists Charles D Ruis, District Health Director, as its authorized official.

NPPES Registry Identity

NPI1184615122
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameMITCHELL COUNTY BOARD OF HEALTTH
Location Address88 W OAKLAND AVECamilla, GA 31730-1254
Mailing AddressPo Box 283Camilla, GA 31730-0283 · (229) 355-3081 · Fax (229) 336-1100
Phone(229) 336-2055
Fax(229) 336-1100
Organization SubpartNo
Authorized OfficialCharles D RuisDistrict Health Director · (229) 352-4275
Enumeration DateOctober 31, 2005
Last NPPES UpdateOctober 23, 2017
✔ NPI 1184615122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
88 W OAKLAND AVE, Camilla, GA 31730
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Other Identifiers 6

Medicaid00452933OGA
Medicare ID-Type Unspecified600000781GA · Rr Medicare
Medicaid00738196AGA
Medicaid00052049KGA
Medicare ID-Type UnspecifiedFLU225GA · Flu Billing
Medicaid00456475JGA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell County Board Of Healtth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20220214001982Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services39 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
34 services34 patients

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 Mitchell County Board Of Healtth's NPI number?

The NPI number for Mitchell County Board Of Healtth is 1184615122. It was assigned to this organization in the NPPES registry on October 31, 2005.

Where is Mitchell County Board Of Healtth located?

Mitchell County Board Of Healtth is located at 88 W Oakland Ave, Camilla, GA 31730. The listed phone number is (229) 336-2055.

What is Mitchell County Board Of Healtth's specialty?

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

Is Mitchell County Board Of Healtth enrolled in Medicare?

Yes. Mitchell County Board Of Healtth is registered in the Medicare PECOS enrollment system.

When is Mitchell County Board Of Healtth's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Mass Immunization (Roster Biller Only)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Mitchell County Board Of Healtth was last updated on October 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.