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COLLEGE PARK REGIONAL HEALTH CENTER
NPI 1285151712
Clinic/Center - Public Health, State or Local in College Park, GA

Active since August 25, 2017CLIA 11D0675065 · Certificate of Compliance
1920 JOHN WESLEY AVE, COLLEGE PARK, GA 30337(770) 520-7201 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2024, Jun 16, 2018, Aug 25, 2017 (3 updates tracked since 2017).

About College Park Regional Health Center NPPES

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

COLLEGE PARK REGIONAL HEALTH CENTER (NPI 1285151712) is a healthcare organization registered as a public health, state or local in College Park, Georgia and active in the NPI registry since August 2017. The organization holds a CLIA Certificate of Compliance certificate valid through April 30, 2028 and lists Lynn Paxton, District Health Director, as its authorized official.

NPPES Registry Identity

NPI1285151712
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameFULTON COUNTY BOARD OF HEALTH
Location Address1920 JOHN WESLEY AVECollege Park, GA 30337-3606
Mailing Address10 Park Place South Se Fl 4Atlanta, GA 30303-2913 · (770) 520-7500
Phone(770) 520-7201
Organization SubpartYes
Authorized OfficialLynn PaxtonDistrict Health Director · (770) 520-7489
Enumeration DateAugust 25, 2017
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1285151712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
1920 JOHN WESLEY AVE, College Park, GA 30337
Open in Google Maps ↗

Other Names 1

Doing Business AsCollege Park Regional Health Center

Other Identifiers 1

Medicaid000457773GGA

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 of Compliance 11D0675065

Fulton County Board Of Health · Atlanta, GA
Active · expires Apr 30, 2028
CLIA Number11D0675065
Laboratory TypePublic Health Laboratories
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorDr. Samir K. Gunjan
Laboratory Phone(770) 520-7444
Laboratory LocationFulton County Board Of Health10 Park Place South SE, Atlanta, GA 30303
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEGE PARK REGIONAL HEALTH CENTER
Public Health or Welfare
1920 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 765-4155
JUDITH LOENE GORDON
Family Medicine
1920 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 765-4224
MS. PAMELA DENISE MARTIN LPN
Licensed Practical Nurse
1920 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 765-4149
WIDALYS SOSA R.D.,L.D.
Dietitian, Registered
1920 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 765-4168
MR. LARRY JAMES BELL JR. RN
Registered Nurse
1920 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 765-4155
SOUTH FULTON HEALTH CARE CENTERS, INC.
Obstetrics & Gynecology
1920 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 765-4200

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 Fulton County Board Of Health's NPI number?

The NPI number for Fulton County Board Of Health is 1285151712. It was assigned to this organization in the NPPES registry on August 25, 2017. The provider is doing business as College Park Regional Health Center.

Where is Fulton County Board Of Health located?

Fulton County Board Of Health is located at 1920 John Wesley Ave, College Park, GA 30337. The listed phone number is (770) 520-7201.

What is Fulton County Board Of Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Does Fulton County Board Of Health hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0675065) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fulton County Board Of Health was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.