Peach County Health Department – State or Local Public Health Clinic/Center, NPI 1366450934

Peach County Health Department is a healthcare provider. based in Macon, Georgia. specializing in State or Local Public Health Clinic/Center. The NPI Number for Peach County Health Department is 1366450934

Main info

Organization
Name
Peach County Health Department
NPI
1366450934
Phone
(478) 297-5190
Address
201 2ND ST STE 1100
Authorized Official
DANIELLE MCNAIR AUTHORIZED OFFICIAL
Enumeration Date
3 August 2006
Last Update Date
23 July 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Peach County Health Department

  • 201 2ND ST STE 1100

    MACON, GA 312016328

    Phone: (478) 297-5190

    Fax: (478) 751-6099

    Type: Mailing

  • 503 BLUEBIRD BLVD

    FORT VALLEY, GA 310305096

    Phone: (478) 825-6939

    Fax: (478) 825-6792

    Type: Location

  • 811, Hemlock Street, Macon, Bibb County, Georgia, 31201, United States

    MACON, GA 312012144

    Phone: (478) 751-6303

    Fax: (478) 751-6099

    Type: Mailing

  • 406, East Church Street, Peach Valley, Fort Valley, Peach County, Georgia, 31030, United States

    FORT VALLEY, GA 310303097

    Phone: (478) 825-6939

    Fax: (478) 825-6792

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (588 days ago).

Enrollment records

1

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090724000505OMass Immunization (Roster Biller Only)GA2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90480Admn sarscov2 vacc 1 dose2929$0
91320Sarscv2 vac 30mcg trs-suc im2929$0
G0008Administration of influenza virus vaccine2524$0
90662Influenza vaccine split virus, preservative free2222$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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Reviews

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Frequently asked questions

Can I cross-check Peach County Health Department using NPI 1366450934?
NPI 1366450934 belongs to Peach County Health Department; compare other details if you need extra assurance.
Is Peach County Health Department shown as active in public data?
Registry records indicate Peach County Health Department maintains an active NPI.
How would a patient describe Peach County Health Department's focus?
For Peach County Health Department, the primary taxonomy reads as State or Local Public Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Is Peach County Health Department located near Macon?
Peach County Health Department currently maps to Macon, Georgia in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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