MEDICARE: HENRY COUNTY BOARD OF HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency
2	261QP0905X	State or Local Public Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447325600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY COUNTY BOARD OF HEALTH

Provider Business Mailing Address
First Line	:	135 HENRY PKWY
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-6636
Country	:	US
Telephone Number	:	770-954-2250
Fax Number	:	770-954-2269

Provider Business Practice Location Address
First Line	:	135 HENRY PKWY
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-6636
Country	:	US
Telephone Number	:	470-661-0005
Fax Number	:	770-954-2269

Authorized Official
Title or Position	:	BILLING SUPERVISOR
Name	:	KYLIE MYHAND
Credential	:
Telephone Number	:	706-298-7709

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	12/01/2025

Similar Medicare Providers

1720072135 — MRS. KARMEN RENEE SCOTT L.D.
Practice Location Address:

135 HENRY PKWY
MCDONOUGH, GA
30253-6636

Practice Phone: 770-954-2250
Practice Fax: 770-954-2854

1154303451 — MRS. JOY STEPHANIE DAISE PA-C
Practice Location Address:

141 HENRY PKWY
MCDONOUGH, GA
30253-6636

Practice Phone: 770-288-7692
Practice Fax: 770-288-7690

1467676916 — CHRISTA POWELL RAINES LPC, NCC
Practice Location Address:

141 HENRY PKWY
MCDONOUGH, GA
30253-6636

Practice Phone: 770-358-8530
Practice Fax:

1134346331 — JOHN T COOKE LPC
Practice Location Address:

139 HENRY PKWY
MCDONOUGH, GA
30253-6636

Practice Phone: 770-898-7400
Practice Fax: 770-898-7412

1760609200 — DONNA JOHNSON RN
Practice Location Address:

139 HENRY PKWY
MCDONOUGH, GA
30253-6636

Practice Phone: 770-898-7400
Practice Fax: 770-898-7412

1104046713 — MS. KATHERINE LEIGH KEY R.N.
Practice Location Address:

139 HENRY PKWY
MCDONOUGH, GA
30253-6636

Practice Phone: 770-898-7400
Practice Fax: 770-898-7412

Directions to “HENRY COUNTY BOARD OF HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.